Organization
COMOTION ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN T. WILLIAMS C.P.O., L.P.O. (PRESIDENT)
(509) 607-0873
Entity
Organization
Contact information
Practice address
2701 SORENSON RD, ELLENSBURG, WA 98926-9622
(509) 607-0873
Mailing address
2701 SORENSON RD, ELLENSBURG, WA 98926-9622
(509) 607-0873
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0144247
WASHINGTON STATE DEPARTMENT OF LABOR & INDUSTRIES
WA
Enumeration date
08/19/2019
Last updated
08/19/2019
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