| NPI | 1629311089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDFORD MATTHEW SCHOCKET CEO 763-537-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2025-04-16 |