Healthcare Provider Details

I. General information

NPI: 1699959155
Provider Name (Legal Business Name): TERRAPIN TECHNOLOGIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 12/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 N 85TH ST
SEATTLE WA
98103-3601
US

IV. Provider business mailing address

129 N 85TH ST
SEATTLE WA
98103-3601
US

V. Phone/Fax

Practice location:
  • Phone: 206-706-2573
  • Fax:
Mailing address:
  • Phone: 206-706-2573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. DALILA BAINER
Title or Position: CEO
Credential: BOC
Phone: 310-212-3067