| NPI | 1912274747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA FAYE BARNES Owner/Technician 251-259-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 63085) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |