| NPI | 1972618577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA LYNN JEFFERSON- ABNEY Director Of Operation 708-698-3798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-06-13 |