| NPI | 1619168465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP MUCCIO President 614-236-8079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LPO 76) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2010-02-26 |