| 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 |