NPI | 1336466879 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD J CHESNUTIS Owner 425-379-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA 602086598) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602086598) |
Enumeration Date | 2010-04-23 |
Last Update Date | 2010-04-23 |