| NPI | 1083868293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SUE ERICKSON President Owner 206-622-9175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA 601571019) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2018-05-15 |