| NPI | 1720147721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA DIANNE TRASK Vice President, Corporate Developme 502-244-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 3255486-002) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA 3255486-002) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |