| NPI | 1174306146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIKISHA MONROE Prosthetic Orthotic Provider 678-401-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |