| NPI | 1639153083 |
|---|---|
| Doing Business As | MARY R TUTTLE |
| Entity Type | Organization |
| Authorized Contact | MARY SUE R TUTTLE Owner Manager 336-591-4118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2008-06-12 |