| NPI | 1982839403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW COBB Owner/Certified Prosthetist 573-760-0520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MO CP2633) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-09-17 |