| NPI | 1760453146 |
|---|---|
| Doing Business As | PROSTHETIC ILLUSIONS INC |
| Entity Type | Organization |
| Authorized Contact | BARBARA LILLO President 303-973-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 229N00000X Anaplastologist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2022-10-25 |