| NPI | 1720353980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON GREEN Owner / Orthotics & Prosthetics 308-627-3198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NE CPO03152) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2023-11-22 |