| NPI | 1962947036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY JONES National Facility Director 480-403-6330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2021-08-24 |