Organization
PROSTHETIX SHOP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON MOLES LP (OWNER)
(513) 843-5126
Entity
Organization
Contact information
Practice address
431 OHIO PIKE, SUITE 124 SOUTH, CINCINNATI, OH 45255-3375
(513) 843-5126
(513) 843-5164
Mailing address
431 OHIO PIKE, SUITE 124 SOUTH, CINCINNATI, OH 45255-3375
(513) 843-5126
(513) 843-5164
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
304
OH
Other
Enumeration date
01/11/2013
Last updated
03/29/2022
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