| NPI | 1912386046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CHASE Prosthetist/ Orthotist 360-587-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA OI00000342) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA PS00000351) |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2023-02-14 |