| NPI | 1295800183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK SMITH Clinical Director 757-548-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2024-10-31 |