| NPI | 1891787594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE MOWRY CEO 760-795-5440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2025-03-06 |