| NPI | 1962115782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OUMOU K BAH Process Improvement Specialist 602-393-8188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |