| NPI | 1720274111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J LEABER Owner President 985-580-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2015-04-29 |