| NPI | 1700831237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GRANT ESPY Owner 706-232-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 225100000X Physical Therapist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-10-22 |