| NPI | 1770842551 |
|---|---|
| Doing Business As | ORTHOTIC PROSTHETIC PHY GROUP |
| Entity Type | Organization |
| Authorized Contact | MIKE R SIMMONS President, Cchh 682-885-2409 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: TX 101295) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: TX 101295) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |