Organization
ABLE BRACE & LIMB. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY DEANNE PETERSON (OWNER)
(417) 235-2253
Entity
Organization
Contact information
Practice address
411 N CENTRAL AVE, MONETT, MO 65708-1917
(417) 235-2253
(417) 235-3985
Mailing address
411 N CENTRAL AVE, MONETT, MO 65708-1917
(417) 235-2253
(417) 235-3985
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626064000
—
MO
Enumeration date
03/19/2007
Last updated
04/21/2010
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