| NPI | 1407377575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ANTIONETTE MESSICK Owner 919-210-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |