Organization
ACTION BRACE & PROSTHETIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE ANNETTE SHORES-DEAL (OPERATIONS MANAGER)
(317) 347-4222
Entity
Organization
Contact information
Practice address
8936 SOUTHPOINTE DR STE B1, INDIANAPOLIS, IN 46227-7506
(317) 534-2852
(317) 885-8199
Mailing address
5942 W 71ST ST, INDIANAPOLIS, IN 46278-1728
(317) 347-4222
(317) 347-4227
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200204200C
—
IN
Enumeration date
04/24/2007
Last updated
05/27/2008
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