| NPI | 1730497942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECIL FARRELL FRUGE Owner 225-292-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA 4180) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2011-09-19 |