| NPI | 1891488458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIA MARTIN Cranial Prosthesis Specialist 704-492-7186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |