| NPI | 1912437930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S WILLIAMSON Owner 252-338-3002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2020-12-09 |