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 |