| NPI | 1396749990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE IGNACIO Owner 206-328-4276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: WA PS00000002) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2010-12-22 |