Organization
ORTHOSPORT INNOVATIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG WILHELM (VP OF OPERATIONS)
(513) 260-4020
Entity
Organization
Contact information
Practice address
4208 HICKORY WOODS DR, MASON, OH 45040-7236
(513) 260-4020
(513) 336-8550
Mailing address
4208 HICKORY WOODS DR, MASON, OH 45040-7236
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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