| NPI | 1942279724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETRA THIESSEN Operations Manager 702-457-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2011-10-21 |