| NPI | 1861997322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA KNUDSON Owner 303-396-9557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CO 20186000250) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |