| NPI | 1578961264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA GREY General Mgr/President 615-534-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN 11,12,80) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |