NPI | 1043303720 |
---|---|
Entity Type | Organization |
Authorized Contact | TOSHIA ADDISON President 803-939-1916 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-10-02 |
Last Update Date | 2025-09-11 |