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The Brace Shoppe Inc.
Prosthetic/Orthotic Supplier in Fountain Inn, South Carolina
NPI 1396930293

The Brace Shoppe Inc. is a Prosthetic/Orthotic Supplier based in Fountain Inn, SC. The Brace Shoppe Inc. practices in Fountain Inn, SC. The NPI Number for The Brace Shoppe Inc. is 1396930293 and holds a License No. ORT0000000095 (South Carolina).

The current practice location address for The Brace Shoppe Inc. is 300 Wood Mist Ln, Fountain Inn, SC and can be reached out via phone at 304-638-3128 and via fax at 304-638-3128.

Location: 300 Wood Mist Ln, Fountain Inn, SC, 29644-9273
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396930293
Provider Name
The Brace Shoppe Inc.
Credential
Provider Entity Type
Organization
Address
300 Wood Mist Ln, Fountain Inn, SC, 29644-9273
Phone Number
304-638-3128
Fax Number
304-638-3128
Provider Enumeration Date
09/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
90012089 05 KY
3810004179 05 WV
2609216 05 OH
institution
Provider Business Practice Location Address Details
Address
300 Wood Mist Ln
City
Fountain Inn
State
South Carolina
Zip
29644-9273
Phone Number
304-638-3128
Fax Number
304-638-3128
person
Provider Business Mailing Address Details
Address
300 Wood Mist Ln
City
Fountain Inn
State
South Carolina
Zip
29644-9273
Phone Number
304-638-3128
Fax Number
304-638-3128
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
ORT0000000095 (Tennessee)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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