| NPI | 1992786941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK SCOTT HINSHON Owner 612-871-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224P00000X Prosthetist | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2020-12-10 |