| NPI | 1417255019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE THOMPSON Owner 206-216-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA 602969017) |
| Enumeration Date | 2011-03-05 |
| Last Update Date | 2011-03-05 |