NPI | 1881698678 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL HOUSKA Owner 740-344-4925 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH LO-0107) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
335E00000X Prosthetic/Orthotic Supplier (Licence: OH LP-146) | |
Enumeration Date | 2005-06-09 |
Last Update Date | 2018-01-29 |