| NPI | 1841211992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER K CREE Contract Cordinator 209-845-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-04-30 |