| NPI | 1538163183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA PUTBACK-BEAN President 281-897-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: TX 101134) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101134) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2010-02-18 |