| NPI | 1619202702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F BACHMAN President/Owner 336-602-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01563) |
| Additional Taxonomies | 222Z00000X Orthotist |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2022-05-09 |