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Bravadas Fairfax Llc
Prosthetic/Orthotic Supplier in Fairfax, Virginia
NPI 1497822910

Bravadas Fairfax Llc is a Prosthetic/Orthotic Supplier based in Fairfax, VA. Bravadas Fairfax Llc practices in Fairfax, VA. The NPI Number for Bravadas Fairfax Llc is 1497822910 and holds a License No. (Virginia).

The current practice location address for Bravadas Fairfax Llc is 11204 Lee Hwy, Fairfax, VA and can be reached out via phone at 703-352-4247 and via fax at 703-403-0543.

Location: 11204 Lee Hwy, Fairfax, VA, 22030-5007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497822910
Provider Name
Bravadas Fairfax Llc
Credential
Provider Entity Type
Organization
Address
11204 Lee Hwy, Fairfax, VA, 22030-5007
Phone Number
703-352-4247
Fax Number
703-403-0543
Provider Enumeration Date
11/29/2006
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
11204 Lee Hwy
City
Fairfax
State
Virginia
Zip
22030-5007
Phone Number
703-352-4247
Fax Number
703-403-0543
person
Provider Business Mailing Address Details
Address
11204 Lee Hwy
City
Fairfax
State
Virginia
Zip
22030-5007
Phone Number
703-352-4247
Fax Number
703-403-0543
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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