| NPI | 1144495995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP S ISAACS Owner 615-327-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN CPed0034) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN CPed0034) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |