| NPI | 1912336025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE E IGNACIO Owner 206-328-4276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA PS 60414610) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |