| NPI | 1821344706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTY K. MANTEY President/Owner 910-772-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 00992) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2014-05-27 |