NPI | 1992286082 |
---|---|
Doing Business As | FAIRVIEW ORTHOTICS AND PROSTHETICS |
Entity Type | Organization |
Authorized Contact | JILL MARIE MCCARTNEY System Executive Hme O&P 651-632-9835 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2018-08-27 |
Last Update Date | 2025-02-27 |