| NPI | 1700602513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE MACDONALD CEO 615-214-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |