| NPI | 1336318740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL EFFREN Owner 704-609-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-07-30 |