| NPI | 1932388048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIEN QUANG TRAN Chief Manager 901-737-5738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN PRO0000000084) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN ORT0000000180) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2012-12-21 |