| NPI | 1396985297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA C ALLISON Pres/Sec 618-288-9297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 212.000142) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-04-09 |