| NPI | 1861716029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN HAGGARD President 253-661-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA PO00000399) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-12-27 |