| NPI | 1710915731 |
|---|---|
| Doing Business As | FOOT SOLUTIONS-FT WAYNE |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS REX BRUICK Owner 260-484-8966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2012-04-13 |