| NPI | 1467826263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYLEY FORSYTH General Partner 480-242-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2023-07-18 |