| NPI | 1841932589 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | OUMOU K BAH Process Improvement Specialist 602-393-8188  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier | 
| Enumeration Date | 2022-04-12 | 
| Last Update Date | 2022-04-12 |