| NPI | 1770164303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHAN ZACHARY MARSHALL Managing Partner/ Clinician 214-289-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 222Z00000X Orthotist |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |