| NPI | 1336077619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IESHIA SANDERS Owner 501-366-2133 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-05-08 |
| Last Update Date | 2026-05-08 |