| NPI | 1013290212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L. PARVIN Certified Pedorthist 256-658-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |