| NPI | 1427042134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN L BUCKNER Owner 601-944-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2013-10-04 |