| NPI | 1760843650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON AUYER President 678-936-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA 112) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2021-11-24 |