| NPI | 1568867836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SMITH Pres. 704-406-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports |
| 251F00000X Home Infusion | |
| 251K00000X Public Health or Welfare | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |