LISA E ROSTVOLD is a prosthetic orthotic supplier in Warsaw, IN. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. LISA E ROSTVOLD NPI is 1558539338. The provider is registered as an organization entity type.
The provider Is Doing Business As Blue Moon Shoes.
The provider's business location address is:
110 N BUFFALO ST
WARSAW, IN
ZIP 46580-754
Phone: (574) 267-5537
Fax: (574) 267-6165
The provider's authorized official is Lisa Ellen Rostvold .
The authorized official title is Owner and has the following contact phone number (574) 267-5537.
The enumeration date for this NPI number is 2/14/2008 and was last updated on 6/19/2008.