| NPI | 1255519799 |
|---|---|
| Doing Business As | IMPACT ORTHOPEDICS |
| Doing Business As | IMPACT PROSTHETICS & ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | RICO DARRYL PHRONEBARGER Co Owner/Manager 704-510-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2019-06-11 |