| NPI | 1346245081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN E COTTRILL President/Owner 850-863-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR31) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-08-22 |