| NPI | 1609170737 |
|---|---|
| Doing Business As | FORMOTION CLINIC |
| Doing Business As | POP PROSTHETICS |
| Entity Type | Organization |
| Authorized Contact | BRADFORD GARDNER COO 615-864-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2025-08-14 |