| NPI | 1255841482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS T BAKER President 901-795-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101575) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2022-01-12 |