Organization
SPORTS BRACING USA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L. BROWN (OWNER)
(408) 978-1114
Entity
Organization
Contact information
Practice address
3162 NEWBERRY DR, SUITE B, SAN JOSE, CA 95118-1500
(408) 978-1114
(408) 978-1166
Mailing address
3162 NEWBERRY DR, SUITE B, SAN JOSE, CA 95118-1500
(408) 978-1114
(408) 978-1166
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/15/2005
Last updated
08/22/2020
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