| NPI | 1356539258 |
|---|---|
| Doing Business As | PROFAB ARTIFICIAL LIMB SERVICES |
| Entity Type | Organization |
| Authorized Contact | ROBERT SHANE DUNIGAN Vice President 937-832-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LP.207) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |