| NPI | 1255425526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY ALLEN GRAYBEAL President/CPO 423-246-3324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-10-14 |