| NPI | 1174404784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI ARLANA JACKSON Owner/Managing Member 843-474-1407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |