| NPI | 1366749855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BRIAN VAN ATTA President 513-702-5945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LPO158) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: OH LPO-158) |
| 222Z00000X Orthotist (Licence: OH LPO-158) | |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2016-02-08 |