| NPI | 1326506882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIE H WOODWARD Office Manager 907-455-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2021-07-05 |