| NPI | 1649437872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE L LITSEY Office Manager 740-622-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OH 2656) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH 2656) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2019-01-30 |