| NPI | 1215978424 |
|---|---|
| Doing Business As | CUSTOM CARE ORTHOPEDIC BRACING AND PROSTHETICS |
| Entity Type | Organization |
| Authorized Contact | BRADFORD GARDNER COO 615-864-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101171) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-01-07 |