| NPI | 1679388359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER JOHN SMITH Chief Operations Officer 469-989-8283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-07-08 |