| NPI | 1417091042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE GROW Partner 205-349-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: AL 354846) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-04-22 |