| NPI | 1508876442 |
|---|---|
| Other Name | SOLE PROPRIETOR |
| Entity Type | Organization |
| Authorized Contact | CARLOS VALENZUELA Certified Orthotist Owner 619-280-9174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-09-09 |