NPI | 1326105842 |
---|---|
Doing Business As | PHOTHERA |
Entity Type | Organization |
Authorized Contact | MICHELE THIEL Regulatory Manager 419-636-6304 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OH 86-015092) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 008046570) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2025-04-23 |