| NPI | 1699622530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY SHONTAY MAXWELL Owner 501-291-6002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2026-03-11 |
| Last Update Date | 2026-03-11 |