| NPI | 1497822910 |
|---|---|
| Doing Business As | BRAVADAS WIG DESIGN |
| Entity Type | Organization |
| Authorized Contact | KEVIN B LINEHAN Owner 703-402-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-02-06 |