The Brace Shoppe Inc.
NPI #1396930293 in Fountain Inn, South Carolina
Provider Information
- NPI Number
- 1396930293
- Entity Type
- Organization
- Organization Name
- The Brace Shoppe Inc.
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 13, 2007
- Last Updated
- Nov 15, 2023
Practice Location
- Address
- 300 WOOD MIST LN
- City
- Fountain Inn
- State
- South Carolina
- ZIP Code
- 29644-9273
- Phone
- (304) 638-3128
Authorized Official
- Name
- JACKIE SUE BALL, LCO
- Title
- PRESIDENT/OWNER
- Phone
- (304) 638-3128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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