| NPI | 1528089604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W KEITH WATSON Owner/President 256-534-8672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 15) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-12-26 |