| NPI | 1992132864 |
|---|---|
| Doing Business As | DOTHAN BRACE SHOP |
| Entity Type | Organization |
| Authorized Contact | AARON KRATOHVIL Controller 615-550-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 19) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2020-10-12 |