Organization
THE BRACE SHOP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KNIGHT CERTIFIED ORTHOTIST (PRESIDENT)
(410) 828-9791
Entity
Organization
Contact information
Practice address
8415 BELLONA LN, SUITE 111, TOWSON, MD 21204-2055
(410) 828-9791
(410) 828-9795
Mailing address
8415 BELLONA LN, SUITE 111, TOWSON, MD 21204-2055
(410) 828-9791
(410) 828-9795
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03179387
MD
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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