Organization
BODY WORKS CUSTOM COMPRESSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BURKART MT (MANAGING MEMBER)
(571) 232-3179
Entity
Organization
Contact information
Practice address
606 LAKE ST APT 25, HUNTINGTON BEACH, CA 92648-4705
(571) 232-3179
Mailing address
13926 HULL STREET ROAD, PMB1007, MIDLOTHIAN, VA 23112
(571) 232-3179
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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