| NPI | 1629749965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OUMOU BAH Process Improvement Specialist 480-403-6395 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |