| NPI | 1710390083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEONARD BUSUTTIL Orthotist/Prosthetist 909-629-7615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2016-08-08 |