| NPI | 1770884959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL ZITTRAUER Member 912-629-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA CPO 61) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2019-03-22 |