| NPI | 1326295445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P RODMAN Owner 229-430-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA CPO2284) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2009-02-12 |