| NPI | 1518949775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMOER TERRY Owner 888-464-9015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2024-03-08 |