| NPI | 1962643007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MCDONALD President 916-484-0658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA GXC000890) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |