| NPI | 1316659626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROBINSON Principle/Manager 919-802-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 229N00000X Anaplastologist |
| Additional Taxonomies | 224L00000X Pedorthist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2024-07-31 |