| NPI | 1780925834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R. MILLER Prosthetist, Orhtotist, Owner 304-699-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LPO 074) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2022-05-04 |