| NPI | 1811140940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIPE RAMON CARTAYA Owner/P5resident 843-206-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |