Organization
CENTRAL OHIO ORTHOTIC & PROSTHETIC CTR INC
Active
Organization
CENTRAL OHIO ORTHOTIC & PROSTHETIC CTR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY P FOWLER SR. ORTHOTIST/PROSTHETIS (PRESIDENT)
(614) 231-4256
Entity
Organization
Contact information
Practice address
3059 E MOUND ST, COLUMBUS, OH 43209-2665
(614) 231-4256
(614) 231-0127
Mailing address
3059 E MOUND ST, COLUMBUS, OH 43209-2665
(614) 231-4256
(614) 231-0127
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155144
ANTHEM BCBS
OH
05
—
0820553
—
OH
Enumeration date
07/19/2005
Last updated
08/22/2020
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