NPI | 1467444190 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY ALAN LUKE Owner, Prosthetic 740-993-0066 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LP-0069) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2021-11-22 |