| NPI | 1497856710 |
|---|---|
| Doing Business As | CERTIFIED PROSTHETIC & ORTHOTIC SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | BARRY K KELLEY President 757-833-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: VA 100478) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-10-18 |