NPI | 1811145071 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAE MI MADDEN Owner 256-237-1107 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 2403) |
Enumeration Date | 2008-08-29 |
Last Update Date | 2008-08-29 |