| NPI | 1962267708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN WHEELER Chief Administrative Officer 480-656-9177 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |