| NPI | 1245454875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L NALLS Orthotistprosthetist 440-322-5416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH LO0201) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: OH LO0201) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LO021) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |