| NPI | 1902801913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA PAULINE MAHAN President 513-771-2603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 5265100001) |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2008-02-21 |