| NPI | 1679852586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE A PATTON Owner/Manager 251-470-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 535) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-10-13 |