Healthcare Provider Details

I. General information

NPI: 1487261913
Provider Name (Legal Business Name): BOSTON BRACE INTERNATIONAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2020
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

372 CHANDLER ST STE 104
WORCESTER MA
01602-3314
US

IV. Provider business mailing address

37 SHUMAN AVE
STOUGHTON MA
02072-3734
US

V. Phone/Fax

Practice location:
  • Phone: 508-273-8885
  • Fax:
Mailing address:
  • Phone: 508-588-6060
  • Fax: 508-559-2750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: THOMAS H MORRISSEY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 508-588-6060