| NPI | 1639235088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE PURTLE-SMITH Manager 763-421-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MN na) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-04-08 |