OrganizationActive
Orthotic & Prosthetic Services Inc
NPI 1083623037 · Prosthetic/Orthotic Supplier · Medina, OH
Provider details
- NPI number
- 1083623037
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Justin Proctor, President/Practitioner(330) 723-6679
- License
- LPO202 (OH)
Specialties & taxonomies
Suppliers
Suppliers
Practice location
283 E Reagan Pkwy
Medina, OH 44256-1298
Phone: (330) 723-6679
Fax: (330) 722-7727
Approximate (ZIP-level) locationGet directions
Mailing address
283 E Reagan Pkwy
Medina, OH 44256-1298
Registry dates
- Enumerated
- 2006-08-07
- Last updated
- 2024-05-01
- Certified
- 2024-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.