| NPI | 1821077306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX LYONS Owner 843-347-7469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: SC 026557921) |
| 222Z00000X Orthotist | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2018-03-21 |