NPI | 1316445083 |
---|---|
Doing Business As | SORRENTINO'S SHOES & ORTHOTICS |
Entity Type | Organization |
Authorized Contact | MICHAEL HOUSKA Owner 330-792-6361 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH LPED67) |
Enumeration Date | 2018-01-29 |
Last Update Date | 2018-06-20 |