NPI 1720080005
Canton Orthotic Laboratory INC
Practice location
- Address
- 811 12th St NW, Canton, OH 44703-1927
- Phone
- (330) 454-2081
- Fax
- (330) 454-9568
Authorised official
- Name
- Stephen Thomas Simko
- Title
- President/Licensed Orthotist
- Phone
- (330) 454-2081
Registered specialties (2)
Prosthetic/Orthotic Supplier
Primary
Prosthetic/Orthotic Supplier
Registry record
- NPI
- 1720080005
- Entity type
- Organization
- NPI issued
- 1 Jun 2005
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.