| NPI | 1811172463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SCOTT CAMPBELL CEO 985-730-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-04-20 |