| NPI | 1164005385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIPRIAN PUFULETE Manager 910-574-9804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X Orthotist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-18 |