| NPI | 1871517425 |
|---|---|
| Other Name | DIABETIC SHOE COMPANY LLC |
| Entity Type | Organization |
| Authorized Contact | MARY A WEAVER Owner 303-215-5118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-04-20 |