| NPI | 1669621116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A SORRENTINO Owner 330-792-6361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LPed-0067) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-23 |