NPI | 1467674556 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ANTHONY SORRENTINO President 330-792-6361 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LPED67) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2008-09-23 |