| NPI | 1548089139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FIELDS DE HERDER Owner 843-766-6494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |