| NPI | 1962479915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA JO BRUCE Office Manager 509-624-1308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA 602056141) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2023-01-25 |