| NPI | 1669778916 |
|---|---|
| Doing Business As | SURVIVOR GALS SPECIALTY PRODUCTS FORT WORTH |
| Entity Type | Organization |
| Authorized Contact | JENNIFER GRUNWALD Owner 972-599-7677 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-09-13 |