| NPI | 1720442981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY S JONES National Facility Director 844-447-5894 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2021-08-24 |