NPI | 1598701427 |
---|---|
Entity Type | Organization |
Authorized Contact | EDDIE G ROGERS President 209-845-8231 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 225000000X Orthotic Fitter |
Enumeration Date | 2006-06-20 |
Last Update Date | 2011-03-22 |