| NPI | 1922545243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA JOYCE EDISON Owner 205-427-1587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 160925) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |