| 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 |