| NPI | 1295764488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE REBECCA OWENS Owner/President/Secretary 256-757-8930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 33E00000X) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |