NPI | 1497972707 |
---|---|
Former Legal Business Name | SPECTRABRACE, LTD. |
Entity Type | Organization |
Authorized Contact | REBECCA D TRASK Vice President 502-244-2774 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2007-04-19 |
Last Update Date | 2020-08-22 |