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ACTION BRACE & PROSTHETIC, INC.

Suppliers Prosthetic/Orthotic Supplier

Provider NPI: 1427167352

Organization Information:
Organization Name:  ACTION BRACE & PROSTHETIC, INC.
Organization is not Subpart
Authorized Official:  KEVIN W. HAGEMEIER  PRESIDENT  317-347-4222

Practice Location:
5942 W 71ST ST  INDIANAPOLIS, IN 46278-1728 US
Tel: 317-347-4222  Fax: 317-347-4227

Business Mailing Address:
5942 W 71ST ST  INDIANAPOLIS, IN 46278-1728 US
Tel: 317-347-4222  Fax: 317-347-4227

NPI Information:
NPI: 1427167352
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y335E00000XSuppliers
Prosthetic/Orthotic Supplier

Other Provider Identifiers:

IssuerNumberStateType
200204200AIN05



American Medical Association 2012 taxonomy code information

Code: 335E00000X

Type:

Classification:



Definition:



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