| NPI | 1487652335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS O. CHRISTENSEN Owner 907-279-4832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AK 30874) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 30874) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-22 |