| NPI | 1962762724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STUART Owner/President/Certified Orthotist 360-577-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-07-30 |