Organization
BRACE YOURSELF ORTHOTICS & PROSTETICS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTWAUN BURROUGHS (OWNER)
(205) 919-3900
Entity
Organization
Contact information
Practice address
181 W VALLEY AVE, BIRMINGHAM, AL 35209-3691
(205) 919-3900
Mailing address
181 W VALLEY AVE, BIRMINGHAM, AL 35209-3691
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C52232
AL
Other
Enumeration date
09/04/2018
Last updated
06/11/2019
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