| NPI | 1487309951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY K DAVIS CEO 818-860-9078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 174400000X Specialist |
| 1744P3200X Specialist, Prosthetics Case Management | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |