| NPI | 1376539874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY O SWANSON President 256-536-5625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 093894) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2009-01-13 |