| NPI | 1730258377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY SGRO Owner Certified Pedorthist 330-630-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH lped 144 temp) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2013-02-01 |