| NPI | 1073915450 |
|---|---|
| Doing Business As | CLINIC FOR PROSTHETIC RESTORATION |
| Entity Type | Organization |
| Authorized Contact | LESTER PRETLOW Chair Of The Board 706-721-3285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2018-02-06 |