| NPI | 1659571081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANAEL LEE FEEHAN Insurance Contracting 360-307-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA OI00000034) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |