| NPI | 1659518074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L. MORELAND Member 210-386-2296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: N/A) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |