NPI | 1316456825 |
---|---|
Doing Business As | ORTHOTICS AND PROSTHETICS AT TOWN CENTER |
Entity Type | Organization |
Authorized Contact | LOUETTA CODY Manager, Provider Enrollment 404-785-7876 |
Organization Subpart ? | No |
Primary Taxonomy | 273Y00000X Rehabilitation Unit |
Enumeration Date | 2017-09-27 |
Last Update Date | 2023-03-24 |