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NPI Code Detail

MEDICARE: BODY SUPPORTS UNLIMITED LLC

MEDICARE: BODY SUPPORTS UNLIMITED LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1710275417
Entity Type Code : Organization
Provider Name (Legal Business Name) : BODY SUPPORTS UNLIMITED LLC
Provider Business Mailing Address
First Line : 2231 E MILLBROOK RD
Second Line : SUITE 101
City : RALEIGH
State : NC
Zip : 27604-1746
Country : US
Telephone Number : 919-896-4763
Fax Number :
Provider Business Practice Location Address
First Line : 2231 E MILLBROOK RD
Second Line : SUITE 101
City : RALEIGH
State : NC
Zip : 27604-1746
Country : US
Telephone Number : 919-896-4763
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JULIE KATHRYN BRAGG
Credential : CFOM, CPED
Telephone Number : 919-896-4763
Provider Enumeration Date : 07/14/2011
Last Update Date : 07/14/2011

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Directions to “BODY SUPPORTS UNLIMITED LLC ” Practice Location

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