| NPI | 1174529937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M COLE Owner 419-531-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LP.55) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LO.56) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: OH CO003462) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: OH CP002589) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2022-10-06 |