| NPI | 1326850637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTIE Y DOUGLAS Payer Relations Manager 615-514-6876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |