| NPI | 1912283953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI LYNN HAZELWOOD President 623-934-3213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AZ 20519930x) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |