| NPI | 1730909433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PTERA Office Manager 565-656-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2025-04-14 |