NPI 1497822910

Bravadas Fairfax LLC

Organisation Prosthetic/Orthotic Supplier Fairfax, VA

Practice location

Address: 11204 Lee Hwy Suite A-1, Fairfax, VA 22030-5007
Phone: (703) 352-4247
Fax: (703) 403-0543

Authorised official

Name: Kevin B Linehan
Title: Owner
Phone: (703) 402-2826

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1497822910
Entity type: Organization
NPI issued: 29 Nov 2006
Record last updated: 6 Feb 2011

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.