NPI | 1346718699 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM BOWDEN Owner 443-820-5751 |
Organization Subpart ? | No |
Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
261QM2500X Clinic/Center, Medical Specialty | |
Enumeration Date | 2018-11-05 |
Last Update Date | 2018-11-05 |