| NPI | 1588730386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EDWARD PAYNE President 304-254-8285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2022-10-21 |