| NPI | 1023177110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE E ANDERSON Managing Member 360-956-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA 602115813) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-05-04 |