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Mmj Cocos Boutique Inc
Prosthetic/Orthotic Supplier in Munster, Indiana
NPI 1114195062

Mmj Cocos Boutique Inc is a Prosthetic/Orthotic Supplier based in Munster, IN. Mmj Cocos Boutique Inc practices in Munster, IN. The NPI Number for Mmj Cocos Boutique Inc is 1114195062 and holds a License No. (Indiana).

The current practice location address for Mmj Cocos Boutique Inc is 921 Ridge Rd # 2, Munster, IN and can be reached out via phone at 219-836-0011 and via fax at 219-836-0011.

Location: 921 Ridge Rd # 2, Munster, IN, 46321-1739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114195062
Provider Name
Mmj Cocos Boutique Inc
Credential
Provider Entity Type
Organization
Address
921 Ridge Rd # 2, Munster, IN, 46321-1739
Phone Number
219-836-0011
Fax Number
219-836-0011
Provider Enumeration Date
02/13/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
921 Ridge Rd # 2
City
Munster
State
Indiana
Zip
46321-1739
Phone Number
219-836-0011
Fax Number
219-836-0011
person
Provider Business Mailing Address Details
Address
921 Ridge Rd # 2
City
Munster
State
Indiana
Zip
46321-1739
Phone Number
219-836-0011
Fax Number
219-836-0011
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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