| NPI | 1699821058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE G ROGES President 209-845-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-12-14 |