NPI | 1043533953 |
---|---|
Doing Business As | ELITE PEDORTHICS AND ORTHOTICS |
Entity Type | Organization |
Authorized Contact | ASHLEY FISHER President 901-267-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN PED21) |
Enumeration Date | 2010-03-05 |
Last Update Date | 2011-04-25 |