| NPI | 1659147494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOL M PRYOR Owner 513-371-8122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |