| NPI | 1134476468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A. JOHNS Owner 419-227-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LPED.20) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH LPED.20) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-09-10 |