Organization
PERFORMANCE BRACING & ORHTOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAMELA HUBBARD (MEMBER/MANAGER)
(314) 872-3535
Entity
Organization
Contact information
Practice address
457 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6824
(314) 872-3535
(314) 872-7373
Mailing address
457 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6824
(314) 872-3535
(314) 872-7373
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
09/11/2025
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