NPI age
19 years
Enumerated 2006-12-08
Across 48 active prosthetic/orthotic supplier providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 9034224 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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