| NPI | 1730678590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D WORLEY Owner 866-284-8872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 224P00000X Prosthetist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2022-12-06 |