| NPI | 1720080005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS SIMKO President/Licensed Orthotist 330-454-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-08-22 |