| NPI | 1659664407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA L FLETCHER Prosthetic Specialist /Cosm. 419-917-1268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH 953162) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |