| NPI | 1740720366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY RAE GROPPUSO Orthotist/Prosthetist 360-423-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |