| NPI | 1306607197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERMELIA CATINA THOMAS JESSIE Owner/Operator 770-875-6225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-19 |