| NPI | 1225210552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE LOUISE YACK Owner 256-533-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: AL 00129) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2013-07-01 |