| NPI | 1669467742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICITE H THOMPSON Owner 919-419-7375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2009-02-04 |