| NPI | 1538489885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA I JARRELL Manager 704-322-9618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 002026879) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2011-12-21 |