| NPI | 1538344759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RETONYA J WALTERS Owner 918-683-5825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK NA) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-10-20 |