| NPI | 1912341744 |
|---|---|
| Doing Business As | RESTORE POC |
| Entity Type | Organization |
| Authorized Contact | JANET WOODALL Director, Contracting 336-397-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL POR39) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PED27) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2020-04-02 |