| NPI | 1215171764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA MARIE PRICE Owner/Manager 304-592-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WV 2223-3336) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2012-11-30 |