| NPI | 1912903105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ARTHUR OSBORNE Owner 307-234-4214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2016-01-04 |