| NPI | 1740823178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BAUMANN Owner 228-222-4354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X |
| 224P00000X Prosthetist | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2021-12-07 |