| NPI | 1932195195 |
|---|---|
| Doing Business As | HENSON ORTHOTIC & PROSTHETIC ENT |
| Entity Type | Organization |
| Authorized Contact | RODNEY DOUGLAS HENSON Owner 209-944-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2015-09-08 |