| NPI | 1699559146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAM FORD Owner 937-510-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 261QR1100X Clinic/Center, Research |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |