| NPI | 1902156532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE SIEBENALER Director Of Operations 866-633-3961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2019-02-18 |