| NPI | 1215362850 |
|---|---|
| Doing Business As | INDEPENDENCE PROSTHETICS-ORTHOTICS |
| Doing Business As | FULLER LIFE ORTHOTICS AND PROSTHETICS |
| Entity Type | Organization |
| Authorized Contact | BRYAN CARROLL FULLER Owner 434-529-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 261QA0900X Clinic/Center, Amputee |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2023-10-17 |