Organization
CAPITAL PROSTHETIC AND ORTHOTIC CENTER, INC.
Active
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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