NPI | 1184954919 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY DELANE ADAMS Owner/Practioner 256-275-3535 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 72) |
Enumeration Date | 2009-12-29 |
Last Update Date | 2011-11-18 |