Organization · NPI-2

2browngirlz

Prosthetic/Orthotic Supplier · Indianapolis, IN

NPI number1225627185
StatusActive
Last updated in NPPESJan 14, 2021

Details

NPI
1225627185
Entity type
Organization (NPI-2)
Legal business name
2browngirlz
Organization subpart
No
Enumeration date
Jan 14, 2021
Certification date
Jan 14, 2021
Last updated
Jan 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

4041 N Audubon Rd
Indianapolis, IN 46226-4740

Phone 317-998-0991

Mailing address

4041 N Audubon Rd
Indianapolis, IN 46226-4740

Phone 317-998-0991

Authorized official

Dominique Hensley
Owner
3179980991

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