| NPI | 1154367548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN L WOOTEN Owner/CEO 770-991-7128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA N/A) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-09-12 |