| NPI | 1407263148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ROBITAILLE Owner 912-355-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA 4621650) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-28 |