| NPI | 1609811157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LAMAR HUTTO Certified Prosthetist/Orthotist 706-884-6114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2009-03-11 |