| NPI | 1265049092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE LYN BROWN Administrative Supervisor 330-792-6826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-28 |