| NPI | 1932127396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BRADLEY DEAL Operations Manager, Orthotist 919-479-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC C18399) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |