NPI | 1548256621 |
---|---|
Entity Type | Organization |
Authorized Contact | BERNICE SWANSON Owner 256-536-5625 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2005-09-23 |
Last Update Date | 2025-01-29 |