| NPI | 1629257399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT N OSDYKE Owner 636-207-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MO 000427) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2010-06-07 |