NPI | 1780135269 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY ROBERTS WIGGEN Manager 828-595-9371 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2016-10-19 |
Last Update Date | 2016-10-19 |