| NPI | 1033360409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG E DAVIDSON Owner 253-651-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA CPO01874) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2022-07-21 |