| NPI | 1093888083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN S MCCLUSKEY President 706-322-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2025-09-11 |