| NPI | 1114919206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CRONK Office Manager 828-684-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224900000X Mastectomy Fitter | |
| 224L00000X Pedorthist | |
| 224P00000X Prosthetist | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2023-02-08 |