| NPI | 1386072809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BRADLEY HARRIS Managing Director 304-777-4789 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |