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NPI #1033566864 in Antioch, Tennessee

Provider Information

NPI Number
1033566864
Entity Type
Organization
Organization Name
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Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
May 23, 2016
Last Updated
May 23, 2016

Practice Location

Address
409 BARKLEY CT
ZIP Code
37013-4224
Phone
(615) 474-1022

Authorized Official

Name
SHANDRIA FRAME
Title
OWNER
Phone
(615) 474-1022

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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