| NPI | 1285839811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA FAYE REDDICK Owner 901-546-7572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN CFm01423) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2009-07-17 |