| NPI | 1629133053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY PERKINS Part Owner 479-806-6079 |
| Organization Subpart ? | |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2024-09-24 |