| NPI | 1740509447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IOANA DENISE GARRETT Owner 985-635-7964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA L359521123) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA L359521123) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |