| NPI | 1528191517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK JACKSON STRADER Owner 972-313-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225CA2500X Rehabilitation Counselor, Assistive Technology Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |