| NPI | 1114393345 |
|---|---|
| Doing Business As | WESTSIDE PROSTHETICS AND ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | JAN ALAIR THOMPSON AO/Am, CPO, Owner 360-791-2207 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2023-02-02 |