| NPI | 1770542433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WILSON CONREY President 954-584-1954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 222Z00000X Orthotist |
| 225000000X Orthotic Fitter | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |