| NPI | 1962665802 |
|---|---|
| Doing Business As | AMPUTEE STORE |
| Entity Type | Organization |
| Authorized Contact | BRYAN POTOK President 805-341-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-05-17 |