| NPI | 1679002356 |
|---|---|
| Doing Business As | PROSTHETIC ILLUSIONS |
| Entity Type | Organization |
| Authorized Contact | BARBARA Y LILLO President 303-973-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 229N00000X Anaplastologist |
| Additional Taxonomies | 156FX1700X Technician/Technologist, Ocularist |
| 156FX1800X Technician/Technologist, Optician | |
| 224900000X Mastectomy Fitter | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-02-06 |