| NPI | 1548679897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SEXON WREGE President/Owner 505-200-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MD C49914) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |