| NPI | 1629209226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENT ALLEN ZIMMERMAN Owner 320-293-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-07-30 |