| NPI | 1336272475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLARD HAWKINS BAKER Board Certified Pedorthist 360-479-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-11-16 |