| NPI | 1609135029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY R BANTING Owner/Partner 925-305-1855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA CPED0350) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-09 |