| NPI | 1770719536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA RENA SINGLETON Owner 251-300-8036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 012455) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2012-10-18 |