NPI | 1720089253 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCI BUSCH V P Of Operations 937-898-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH CPO1502) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LPO114) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2014-10-22 |