Organization
CAPITAL PROSTHETIC AND ORTHOTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CRAWFORD OWNER (PRESIDENT)
(614) 451-0446
Entity
Organization
Contact information
Practice address
625 CLINE AVE, MANSFIELD, OH 44907
(567) 560-2051
Mailing address
625 CLINE AVE, MANSFIELD, OH 44907-1038
(567) 560-2051
(567) 560-2093
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2930387
—
OH
Enumeration date
04/02/2007
Last updated
07/23/2020
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