| NPI | 1578590972 |
|---|---|
| Other Name | AMPUTEE PROSTHETIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAM S YOUNG Off. Manager/Owner 478-474-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-01-19 |