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Organization

SCOLIOSIS NORTHWEST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH MANDLER L.C.O. (ORTHOTIST/OWNER)
(509) 389-4783
Entity
Organization

Contact information

Practice address
509 N HOMESTEAD DR, LIBERTY LAKE, WA 99019-7580
(509) 389-4783
Mailing address
509 N HOMESTEAD DR, LIBERTY LAKE, WA 99019-7580
(509) 389-4783

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
10/18/2023
Last updated
10/18/2023
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