| NPI | 1881794675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW D. COBB Owner/Certified Prosthetist 573-760-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MO CP2633) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-12-14 |