NPI 1073602256

Bruner Tammy

Organisation Prosthetic/Orthotic Supplier Marion, IN

Practice location

Address: 119 N Baldwin Ave, Marion, IN 46952
Phone: (765) 664-7463
Mailing address: 30 EMS C30 Lane, Warsaw, IN 46582

Authorised official

Name: Tammy R Bruner
Title: RN Owner
Phone: (574) 269-3306

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 28060524A (IN)

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Registry record

NPI: 1073602256
Entity type: Organization
NPI issued: 12 Oct 2006
Record last updated: 19 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.