| NPI | 1124404637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN AYCOCK Owner/Secretary/Treasure 828-254-6305 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC CPO00805) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2022-11-23 |