| NPI | 1649510959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SUE LANE-RIEFLER Executive Director 765-664-6815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2014-11-17 |