| NPI | 1760688410 |
|---|---|
| Doing Business As | UPSTATE PEDORTHIC SERICES |
| Entity Type | Organization |
| Authorized Contact | WALTER D BALLARD Owner 864-848-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2013-07-18 |