Organization
MAUGHAN PROSTHETIC & ORTHOTIC SOUTH, INC.
Active
Other names
Maughan Prosthetic & Orthotic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN M MAUGHAN LCPO (OWNER/PRESIDENT)
(253) 820-3689
Entity
Organization
Contact information
Practice address
208 LILLY RD NE, SUITE A, OLYMPIA, WA 98506-6100
(360) 338-0284
(360) 878-8492
Mailing address
PO BOX 1546, GRAHAM, WA 98338-1546
(360) 447-0770
(253) 875-7768
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PS00000183
WA
Other
Enumeration date
10/02/2012
Last updated
09/14/2021
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