| NPI | 1831351634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P RODMAN Owner/Manger 229-430-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA CPO1469 LPO21) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2014-11-06 |