| NPI | 1972478469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY NOCOLE EASTERLING Owner/Director 870-300-9236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-11-05 |