| NPI | 1295930600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND GILLIGAN Prosthetist Orthotist 907-455-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AK BL272686) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2008-12-31 |