| NPI | 1992763718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALLEN JOHNSON Co Owner / Vice President 509-737-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2008-07-31 |