| NPI | 1972588143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK FLEETWOOD General Manager 501-664-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AR 04734178001) |
| Enumeration Date | 2005-12-10 |
| Last Update Date | 2020-08-22 |