| NPI | 1811435019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RENNER-THOMAS Owner 855-487-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2024-11-08 |