Canton Orthotic Laboratory INC
NPI #1720080005 in Canton, Ohio
Provider Information
- NPI Number
- 1720080005
- Entity Type
- Organization
- Organization Name
- Canton Orthotic Laboratory INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 1, 2005
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. STEPHEN THOMAS SIMKO, LO
- Title
- PRESIDENT/LICENSED ORTHOTIST
- Phone
- (330) 454-2081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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