| NPI | 1174361315 |
|---|---|
| Doing Business As | PREMIUM BRACES LLC |
| Entity Type | Organization |
| Authorized Contact | ALEX JOHN Office Manager 315-215-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-30 |