| NPI | 1902927510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CRAWFORD President 614-451-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-07-23 |