| NPI | 1811952146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF W SPRINKLE Owner President 864-591-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter (Licence: SC CPO01763) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2011-10-10 |