| NPI | 1780900852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTIS V. PETTIES President 901-270-5470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN 188 / 230) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2011-12-22 |