| NPI | 1598946410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALAN ARCHER Director 909-896-6094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 25575) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |