| NPI | 1922244953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA MARIE JEAN Podiatrist 419-537-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 36.002601) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2013-01-30 |