| NPI | 1053315622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA REQUIERON FRANKOWIAK Office Manager 706-425-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA C14187) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2010-11-11 |