| NPI | 1891749321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO D DIPRIMA Owner 706-291-7457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: 20140) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-05-01 |