| NPI | 1831546381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WADE Owner 937-867-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2016-05-14 |