| NPI | 1356416051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GIBSON PARVIN Certified Pedorthist 256-658-0742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |