| NPI | 1780069369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID HARRIS Owner/President 870-793-6244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AR A#205) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |