| NPI | 1083466643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BAILEY Co Owner 419-468-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2025-08-28 |