| NPI | 1043588890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRY TULL Owner/President 336-659-6062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: DE c-Ped3362) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2013-07-22 |