| NPI | 1154769982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARRIE COBURN President 440-969-6022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH 2118672) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2014-05-07 |