| NPI | 1861773830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA K. FOWLER Office Manager 614-231-4256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH CE92437) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |