| NPI | 1538321260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA A JACKSON Owner 501-771-4785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AR 87) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2020-07-14 |