Organization
THE BRACE SHOP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KNIGHT ABC/BOCO CERTIFIED (PRESIDENT/CERTIFIED ORTHOTIST)
(410) 265-9292
Entity
Organization
Contact information
Practice address
1718 BELMONT AVE, SUITE I, BALTIMORE, MD 21244-2552
(410) 265-9292
(410) 265-9295
Mailing address
1718 BELMONT AVE, SUITE I, BALTIMORE, MD 21244-2552
(410) 265-9292
(410) 265-9295
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
03002297
MD
Other
Enumeration date
07/07/2005
Last updated
08/22/2020
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