NPI | 1386642049 |
---|---|
Doing Business As | CUSTOM DESIGN ORTHOTIC & PROSTHETIC |
Entity Type | Organization |
Authorized Contact | STEVEN MARSHALL WILLIAMS President/Practitioner 740-383-3490 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LPO144) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2020-08-22 |