NPI | 1013440718 |
---|---|
Former Legal Business Name | BOLAND PROSTHETIC & ORTHOTIC CENTER LLC |
Entity Type | Organization |
Authorized Contact | PAUL A BOLAND Owner 478-953-2922 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA 300760100) |
Enumeration Date | 2017-04-10 |
Last Update Date | 2021-11-11 |