| NPI | 1629590799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA WORTHAM Owner 513-560-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2024-02-21 |