NPI | 1679156699 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCINDA B BUSCH Sr. Administrative Specialist 765-756-5014 |
Organization Subpart ? | No |
Primary Taxonomy | 224P00000X Prosthetist |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2021-04-29 |
Last Update Date | 2023-12-19 |