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Canton Orthotic Laboratory Inc
Prosthetic/Orthotic Supplier in Canton, Ohio
NPI 1720080005

Canton Orthotic Laboratory Inc is a Prosthetic/Orthotic Supplier based in Canton, OH. Canton Orthotic Laboratory Inc practices in Canton, OH. The NPI Number for Canton Orthotic Laboratory Inc is 1720080005 and holds a License No. (Ohio).

The current practice location address for Canton Orthotic Laboratory Inc is 811 12Th St Nw, Canton, OH and can be reached out via phone at 330-454-2081 and via fax at 330-454-9568.

Location: 811 12Th St Nw, Canton, OH, 44703-1927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720080005
Provider Name
Canton Orthotic Laboratory Inc
Credential
Provider Entity Type
Organization
Address
811 12Th St Nw, Canton, OH, 44703-1927
Phone Number
330-454-2081
Fax Number
330-454-9568
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000155415 01 OH ANTHEM PROVIDER NUMBER
0291143 05 OH
institution
Provider Business Practice Location Address Details
Address
811 12Th St Nw
City
Canton
State
Ohio
Zip
44703-1927
Phone Number
330-454-2081
Fax Number
330-454-9568
person
Provider Business Mailing Address Details
Address
811 12Th St Nw
City
Canton
State
Ohio
Zip
44703-1927
Phone Number
330-454-2081
Fax Number
330-454-9568
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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