| NPI | 1386821072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERREE JOYCE WILSON Owner/ Fitter 757-595-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 8863142008) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-09-05 |