NPI | 1104417005 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDSEY M GRIFFIN Owner, Certified Orthotist 980-250-1505 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2021-02-02 |
Last Update Date | 2024-03-25 |