NPI | 1548494743 |
---|---|
Doing Business As | TOM LEISURE PROSTHETICS |
Entity Type | Organization |
Authorized Contact | THOMAS S LEISURE Owner 641-423-3410 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IA ABCCPO1669) |
Enumeration Date | 2009-05-04 |
Last Update Date | 2009-05-04 |