| NPI | 1851339410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON D HARPER Owner 870-762-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AR pending) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |