NPI | 1902087802 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD A BARTCZAK Owner Certified Pedorthist 714-632-3263 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2007-11-19 |
Last Update Date | 2008-07-09 |