NPI | 1477596724 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY LADD SPRADLING Orthotist/President 806-792-0395 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0011) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 0011) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2012-05-11 |