| NPI | 1720075807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN DAVIES Office Manager 251-316-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 2005008028) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2026-07-07 |