| NPI | 1316128747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA RAE HERTZELL Owner 336-274-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 600186564) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2011-05-23 |