| NPI | 1841761947 |
|---|---|
| Doing Business As | UNIQUE BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | BARRY WALTON President 423-245-2181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2024-02-01 |