NPI | 1669550695 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK BONDURANT President Clinical Director 513-770-5550 |
Organization Subpart ? | No |
Primary Taxonomy | 224P00000X Prosthetist (Licence: OH LPO 9) |
Additional Taxonomies | 222Z00000X Orthotist (Licence: OH LPO 9) |
335E00000X Prosthetic/Orthotic Supplier (Licence: OH LPO 9) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2014-01-22 |