NPI: 1659692739 · COEUR D ALENE, ID 83814 · Prosthetic/Orthotic Supplier · NPI assigned 06/12/2010
| Authorized Official | FISCHER, MARY (CO-OWNER) |
| NPI Enumeration Date | 06/12/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22 | $767.46 |
| 2021 | 18 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | 40 | 25 | $2K |