| NPI | 1881219616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASHAUN JOYE Owner 803-229-0775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |