| NPI | 1780829903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON GREGORY HOUGLUM Orthotic Fitter 615-327-4751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN CFo02573) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |