| NPI | 1124671847 |
|---|---|
| Doing Business As | OLYMPIC SPORTS & SPINE |
| Entity Type | Organization |
| Authorized Contact | CECILIA J CARTER Provider Enrollment Specialist 253-459-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |