Ann Marie Braydich

Individual provider Active NPI Prosthetic/Orthotic Supplier · Struthers, OH

NPI 1629601067 · NPPES record last updated Feb 13, 2020

Key facts

NPI
1629601067
Entity type
Individual (NPI type 1)
Primary specialty
Prosthetic/Orthotic Supplier 335E00000X
Practice address
5527 Walnut Grove Cir
Struthers, OH 44471-3116
Phone
(330) 240-5932
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Yes

Addresses

Primary practice location

5527 Walnut Grove Cir
Struthers, OH 44471-3116

Mailing address

5527 Walnut Grove Cir
Struthers, OH 44471-3116
Phone (330) 240-5932

Other providers in Struthers, OH

All providers in Struthers, OH · Prosthetic/Orthotic Supplier in Ohio

Sources for this page

Verify at the official NPI Registry.