NPI | 1164294948 |
---|---|
Doing Business As | INDEPENDENCE PROSTHETICS-ORTHOTICS |
Entity Type | Organization |
Authorized Contact | BRYAN CARROLL FULLER Manager 434-529-8882 |
Organization Subpart ? | Yes |
Primary Taxonomy | 224P00000X Prosthetist |
Enumeration Date | 2023-10-25 |
Last Update Date | 2023-10-25 |