| NPI | 1770774499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE IGNACIO Owner 206-328-4276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA PS00000002) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2010-12-22 |