| NPI | 1184836629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND J MARGIANO CEO 770-955-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA 20013439280) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2019-08-01 |