NPI | 1487104014 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY FRAELLO President 512-993-7054 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 1806) |
Enumeration Date | 2016-10-06 |
Last Update Date | 2023-06-17 |