| NPI | 1366763971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DIANE SHARPE Owner 704-500-1346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC C63952) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |