NPI | 1467513317 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID J OSTERMAN Owner 314-968-8555 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 213.000099) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
335E00000X Prosthetic/Orthotic Supplier (Licence: IL 211.000024) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2017-02-16 |