| NPI | 1770778193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD GARDNER COO 615-864-8783 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2023-01-04 |