| NPI | 1225215353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARE E SKRIP Physician 606-878-5474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: KY 217) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |