| NPI | 1467592758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED C CHIAPPETTA Owner 262-657-9142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WI 875) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-04-16 |