| NPI | 1083632020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL BAKER Dir. Of Hr 864-622-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-05-04 |