| NPI | 1962682906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY THOMPSON President 509-480-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA PS00000366/OI0000038) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2013-09-16 |