| NPI | 1528211067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SANFORD Owner 937-298-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH 1439211) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2010-06-19 |