| NPI | 1538613260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M GOBLE Manager 248-885-2038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2024-07-23 |