| NPI | 1902565906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LOYD Owner 888-407-2823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2022-01-11 |