NPI | 1073010583 |
---|---|
Doing Business As | OLYMPIC SPORTS & SPINE |
Entity Type | Organization |
Authorized Contact | CECILIA J TUILEFANO Provider Enrollment Specialist 253-459-8231 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2018-04-11 |
Last Update Date | 2018-04-26 |