| NPI | 1649499690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WAYNE BLECHA Owner President 308-423-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: VA CPO 2571) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-11-30 |