Organization
ANDERSON BRACE & LIMB PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WESLEY ANDERSON CPO (OWNER/CERTIFIED PROSTHETIST ORTHOTI)
(731) 286-6006
Entity
Organization
Contact information
Practice address
300 E PARKVIEW ST, DYERSBURG, TN 38024-3110
(731) 286-6006
(731) 286-5570
Mailing address
300 E PARKVIEW ST, DYERSBURG, TN 38024-3110
(731) 286-6006
(731) 286-5570
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
ORT0000000109
TN
335E00000X
Prosthetic/Orthotic Supplier
Primary
PRO0000000087
TN
Other
Enumeration date
03/31/2008
Last updated
06/01/2017
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