NPI | 1982090528 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK NOLAN CFO 651-312-3105 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2015-04-10 |
Last Update Date | 2019-12-27 |