| NPI | 1033272638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELINA R GIBSON Office Manager 251-433-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 25) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2017-03-27 |