| NPI | 1871068023 |
|---|---|
| Doing Business As | THE BRACE STORE |
| Entity Type | Organization |
| Authorized Contact | KENNETH SHAPIRO Owner 561-271-9497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |