NPI | 1255089991 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERYL FAIRLEY CEO 769-257-1002 |
Organization Subpart ? | Yes |
Primary Taxonomy | 222Z00000X Orthotist |
Additional Taxonomies | 224P00000X Prosthetist |
225000000X Orthotic Fitter | |
Enumeration Date | 2022-03-11 |
Last Update Date | 2022-03-11 |