Organization
MAUGHAN PROSTHETIC & ORTHOTIC, INC.
Active
Parent organization
MAUGHAN PROSTHETIC & ORTHOTIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAUGHAN PROSTHETIC & ORTHOTIC, INC.
Authorized official
MR. JUSTIN M MAUGHAN LCPO (LCPO/OWNER)
(360) 698-2229
Entity
Organization
Contact information
Practice address
1805 COOKS HILL RD, CENTRALIA, WA 98531-9072
(360) 330-1602
(360) 807-4511
Mailing address
PO BOX 1546, GRAHAM, WA 98338-1546
(360) 447-0770
(253) 904-8705
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
07/21/2022
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