Organization
CERTIFIED ORTHOTIC & PROSTHETIC, INC
Active
Other names
CUSTOM DESIGN ORTHOTIC & PROSTHETIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MARSHALL WILLIAMS LPO (PRESIDENT/PRACTITIONER)
(419) 289-1900
Entity
Organization
Contact information
Practice address
350 HILLCREST DR, ASHLAND, OH 44805-4052
(419) 289-1900
(419) 289-1988
Mailing address
350 HILLCREST DR, ASHLAND, OH 44805-4052
(419) 289-1900
(419) 289-1988
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
LPO144
OH
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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