| NPI | 1609914860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN B MCNAB Certified Orthotist Prosthotist 815-932-8564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2011-06-01 |