| NPI | 1821278839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M DAILEY President 636-239-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MO 00689) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |