| NPI | 1750362471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE M WOOLEY President/Owner 863-682-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PRO36,PRO60,ORT91) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-08-22 |