| NPI | 1891176517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN RICHARD BERRYHILL CEO 256-444-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 612) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2020-03-10 |