Organization
BRACE PROS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY D WRIGHT BOCO (BOARD CERTIFIED ORTHOTIST)
(856) 397-3912
Entity
Organization
Contact information
Practice address
12 AMBER CT, BLACKWOOD, NJ 08012-2758
(856) 397-3912
Mailing address
12 AMBER CT, BLACKWOOD, NJ 08012-2758
(856) 397-3912
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C50954
NJ
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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