| NPI | 1699941211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO MARTINEZ Owner 423-262-8327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN 0017898) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0017898) |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2008-05-15 |