| NPI | 1114902665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY ROLFES Operations Manager 704-893-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2022-07-21 |