| NPI | 1073576617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS SIMKO President/Licensed Orthotist 330-833-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-08-22 |