| NPI | 1255676342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM WHITESIDE President / Clinical Director 330-360-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LO-151) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |