| NPI | 1033391586 |
|---|---|
| Doing Business As | INNOVATIVE SPAS |
| Entity Type | Organization |
| Authorized Contact | WHITNEY ELLIOTT Owner 757-490-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |