| NPI | 1346228699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R WEYMER CEO 360-384-1858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA 600446461) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 600446461) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2008-05-20 |