| NPI | 1821187634 |
|---|---|
| Doing Business As | KOC ORTHOTICS-LAKEWAY |
| Doing Business As | ORTHOTENNESSEE ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | PETE PEARSON CEO 865-769-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2025-02-10 |