| NPI | 1861451544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI ELAINE HAENGGI Operator 937-278-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH N/A IN OHIO) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2008-07-31 |