NPI | 1265622781 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH YOUNG Director Of Contracting 336-397-0991 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR142) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2017-10-19 |