| NPI | 1154653830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON JOYCE President 423-247-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN 62 PROS; 186 ORTHOT) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |