Organization
BRISTOL ORTHOTICS & PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA NEWPORT (C.O.O.)
(423) 900-8909
Entity
Organization
Contact information
Practice address
114 W SPRINGBROOK DR, JOHNSON CITY, TN 37604-1757
(423) 900-8906
(423) 722-3411
Mailing address
553 HIGHWAY 126, BRISTOL, TN 37620-1685
(423) 968-4442
(423) 968-4777
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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