| NPI | 1780613851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREEN T PELLETIER Manager 440-352-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2021-06-16 |