| NPI | 1508447343 |
|---|---|
| Doing Business As | SOUTHLAKE ORTHOPAEDICS DBA SOUTHLAKE PROSTHETICS & ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | ROBERT CRABTREE Administrator 205-985-4111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2022-02-10 |