| NPI | 1033640776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA RICHARDSON Owner/Operator 252-904-9845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |