| NPI | 1689920142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI BENNETTS Office Manager 907-562-0560 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AK 741113) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2026-05-19 |