| NPI | 1669120739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA DANIELLE CORMIER Prosthetic Orthotic Provider 337-281-2859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |