| NPI | 1396949400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY CLAY SLEMKER President 937-898-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH CPO1502) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LP0114) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2014-10-21 |