| NPI | 1730352147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A CHIMENTO Owner 918-994-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 44) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2024-05-01 |