| NPI | 1215168398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MICHAEL MAUGHAN President/CPO 253-820-3689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA PS00000183) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2024-09-19 |