| NPI | 1417222126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET WOODALL Director, Contracting 336-397-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PO00039) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2020-04-02 |