| NPI | 1477805315 |
|---|---|
| Doing Business As | MAUGHAN PROSTHETIC & ORTHOTIC |
| Entity Type | Organization |
| Authorized Contact | JUSTIN M MAUGHAN Owner/President 253-820-3689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA PS00000183) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2021-09-14 |