| NPI | 1497752026 |
|---|---|
| Doing Business As | ORTHOTICS & PROSTHETICS OF PINEHURST |
| Entity Type | Organization |
| Authorized Contact | ELEASE M. GOODWIN CEO 910-295-4489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2019-03-19 |