Organization · NPI-2

Bristol Orthotics & Prosthetics, INC

Prosthetic/Orthotic Supplier · Johnson City, TN

NPI number1023540267
StatusActive
Last updated in NPPESMar 28, 2017

Details

NPI
1023540267
Entity type
Organization (NPI-2)
Legal business name
Bristol Orthotics & Prosthetics, INC
Organization subpart
No
Enumeration date
Mar 28, 2017
Last updated
Mar 28, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

114 W Springbrook Dr
Johnson City, TN 37604-1757

Phone 423-900-8906 · Fax 423-722-3411

Mailing address

553 Highway 126
Bristol, TN 37620-1685

Phone 423-968-4442 · Fax 423-968-4777

Authorized official

Sandra Newport
C.O.O.
4239008909

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