| NPI | 1427030550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CANTWELL President 803-779-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: SC 001666) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-08-22 |