| NPI | 1568764751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD NEIL GARDNER COO 615-864-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2017-10-09 |