| NPI | 1114066560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY JOHNSTON HARRELL Office Administrator 205-246-9789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |