| NPI | 1063501674 |
|---|---|
| Doing Business As | JERRY'S FAMOUS FOOTWEAR |
| Entity Type | Organization |
| Authorized Contact | MARGARET ANNE ALEXANDER VP Secretary 251-343-7127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-08-19 |