| NPI | 1942621016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD MAYS Manager 205-276-6582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 225X00000X Occupational Therapist | |
| 224Z00000X Occupational Therapy Assistant | |
| 222Z00000X Orthotist | |
| 224L00000X Pedorthist | |
| 225100000X Physical Therapist | |
| 224P00000X Prosthetist | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2014-10-08 |