| NPI | 1356312250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE KUCHARSKI-NELSON Manager/Secretary 704-377-4356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2022-08-12 |