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Organization

EARTHWALK ORTHOTICS ACQUISITION COMPANY LLC

Active
Other names
Earthwalk Orthotics
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIGHAM HUGHES WILSON (PRESIDENT)
(330) 837-6569
Entity
Organization

Contact information

Practice address
500 VISTA AVE SE, MASSILLON, OH 44646
(888) 492-8393
(330) 837-6550
Mailing address
500 VISTA AVE SE, MASSILLON, OH 44646
(888) 492-8393
(330) 837-6550

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
05/21/2008
Last updated
02/05/2018
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