| NPI | 1083005813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA CHURCHILL Manager/Owner 205-502-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 134791) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |