| NPI | 1609963115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY THOMAS Office/Billing Manager 770-474-4595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XH1200X Occupational Therapist, Hand | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-10-01 |