Organization
PROFAB UNLIMITED, INC.
Active
Other names
Profab Artificial Limb Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SHANE DUNIGAN (VICE PRESIDENT)
(937) 832-0343
Entity
Organization
Contact information
Practice address
343 SMITH DR, CLAYTON, OH 45315-8705
(937) 832-0343
(937) 832-2075
Mailing address
343 SMITH DR, CLAYTON, OH 45315-8705
(937) 832-0343
(937) 832-2075
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
LP.207
OH
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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