| NPI | 1750153995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GYSANDA MARZELLA PARKER-BYRD CEO 720-608-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |