Kowasic Enterprises Incorporated

NPI #1891802583 in Avondale, Arizona

Provider Information

NPI Number
1891802583
Entity Type
Organization
Organization Name
Kowasic Enterprises Incorporated
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Aug 25, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1461 N DYSART RD
Address 2
SUITE 103
State
Arizona
ZIP Code
85323-1538
Phone
(623) 932-5505

Authorized Official

Name
MRS. TRACY LYNN KOWASIC
Title
VICE PRESIDENT/SECRETARY/SALES
Phone
(623) 932-5505

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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