| NPI | 1457922502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN ARNOLD BROOKS Certified Prosthetist Orthotist 321-446-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2022-04-27 |