Organization
PROFAB UNLIMITED, INC.
Active
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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