| NPI | 1972812014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS D DECKERT President 850-478-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORT17) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-12-03 |