| NPI | 1588989255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON KIMURA Orthotist 267-433-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2023-04-27 |