| NPI | 1972609071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA H CARTER O PT Ician/Store Manager 336-274-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2012-04-20 |