| NPI | 1568758282 |
|---|---|
| Doing Business As | PETERSON'S ORTHOTIC LAB |
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLIAM PETERSON President 541-647-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OR C15236) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |