Healthcare Provider Details

I. General information

NPI: 1316004971
Provider Name (Legal Business Name): COMPREHENSIVE BRACE AND LIMB CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2235 E PERSHING ST SUITE F
SALEM OH
44460-3478
US

IV. Provider business mailing address

PO BOX 1211
SALEM OH
44460-8211
US

V. Phone/Fax

Practice location:
  • Phone: 330-337-8333
  • Fax: 330-337-8373
Mailing address:
  • Phone: 330-337-8333
  • Fax: 330-337-8373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberLPO091
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberLPO91
License Number StateOH

VIII. Authorized Official

Name: MRS. CHERYL POLLAK
Title or Position: PRESIDENT
Credential: PT
Phone: 330-337-8333