| NPI | 1548441934 |
|---|---|
| Doing Business As | BOSSIER CITY PROSTHETIC & ORTHOTIC LAB |
| Entity Type | Organization |
| Authorized Contact | JASON RALPH RIFFLE Prosthetist 318-746-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 20011) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 30) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2008-04-29 |