Organization
DYNAMIC BRACING, INC
Active
Other names
Dynamic Bracing & Physical Therapy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS P BAKER (VICE PRESIDENT)
(509) 325-9144
Entity
Organization
Contact information
Practice address
405 E. PACIFIC AVE, SPOKANE, WA 99202-1347
(509) 325-9144
(509) 325-0422
Mailing address
405 E. PACIFIC AVE, SPOKANE, WA 99202
(509) 325-9144
(509) 325-0422
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9048059
—
WA
Enumeration date
10/25/2005
Last updated
04/05/2019
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