| NPI | 1760983787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GRAHAM Owner/Operator 919-940-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: NC 6570) |
| Enumeration Date | 2018-02-25 |
| Last Update Date | 2018-02-25 |