| NPI | 1760514780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE WRIGHT Office Manager 208-478-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-03-03 |