| NPI | 1861948242 |
|---|---|
| Doing Business As | GOAL PEDIATRIC ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | ALICIA HERMOSILLO Owner 801-830-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2024-06-11 |