| NPI | 1487036893 |
|---|---|
| Former Legal Business Name | DYNAMIC FAMILY SERVICES |
| Entity Type | Organization |
| Authorized Contact | JON BOTTEN CEO 2583-216-5660 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |