| NPI | 1356814248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DANIEL WHITTEN Owner/Certified Orthotist 864-252-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2025-12-11 |