NPI | 1972908663 |
---|---|
Entity Type | Organization |
Authorized Contact | AARON HAYS President/CPO 815-401-7260 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 213000210) |
Enumeration Date | 2014-10-24 |
Last Update Date | 2015-01-12 |