Organization · NPI-2

Action Brace & Prosthetic, INC

Prosthetic/Orthotic Supplier · Indianapolis, IN

NPI number1093934648
StatusActive
Last updated in NPPESMay 27, 2008

Details

NPI
1093934648
Entity type
Organization (NPI-2)
Legal business name
Action Brace & Prosthetic, INC
Organization subpart
No
Enumeration date
Apr 24, 2007
Last updated
May 27, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

8936 Southpointe Dr Ste B1
Indianapolis, IN 46227-7506

Phone 317-534-2852 · Fax 317-885-8199

Mailing address

5942 W 71st St
Indianapolis, IN 46278-1728

Phone 317-347-4222 · Fax 317-347-4227

Authorized official

Denise Annette Shores-Deal
Operations Manager
3173474222

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