Bravadas Fairfax LLC
NPI #1497822910 in Fairfax, Virginia
Provider Information
- NPI Number
- 1497822910
- Entity Type
- Organization
- Organization Name
- Bravadas Fairfax LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Feb 6, 2011
Practice Location
Authorized Official
- Name
- KEVIN B LINEHAN
- Title
- OWNER
- Phone
- (703) 402-2826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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