C00168;TA112156;TCO3;1;;Abigail Alcantara;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/17/25
C00168;TA112156;80062W090;1;;Abigail Alcantara;Alliance Prosthetics and Orthotics;12458 Washington Blvd;Whittier;CA;90602;06/17/25
C00168;TA112156;COMP;No
