NPI | 1558577718 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS C PIERCE President 386-672-9394 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PED-44) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2009-07-27 |