| 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 |