| NPI | 1780990127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LAMBERT Orthotist 248-499-8719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI CP002840) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI C26313) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2012-04-16 |