| NPI | 1477576890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MOSELEY WALTON Administrator & CFO 970-879-4612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-03-12 |