| NPI | 1962890293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON ANDERSON Pedorthist/Clinical Director 256-283-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224L00000X Pedorthist (Licence: AL 589) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-13 |