| NPI | 1831128776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH R ADDISON Owner 225-924-4531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: LA 50324870001) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2015-03-23 |