Organization
MANSFIELD ORTHOTIC AND PROSTHETIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JAMES HOY CPO/L FAAOP (PRESIDENT)
(419) 522-4171
Entity
Organization
Contact information
Practice address
240 MARION AVE, MANSFIELD, OH 44903-2115
(419) 522-4171
(419) 525-3269
Mailing address
240 MARION AVE, MANSFIELD, OH 44903-2115
(419) 522-4171
(419) 525-3269
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
LPO.54
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5489949
—
OH
Enumeration date
02/15/2006
Last updated
09/27/2007
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