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Lady Grace Stores, Inc.
Prosthetic/Orthotic Supplier in Brookline, Massachusetts
NPI 1265666812

Lady Grace Stores, Inc. is a Prosthetic/Orthotic Supplier based in Woburn, MA. Lady Grace Stores, Inc. practices in Brookline, MA. The NPI Number for Lady Grace Stores, Inc. is 1265666812 and holds a License No. (Massachusetts).

The current practice location address for Lady Grace Stores, Inc. is 1364 Beacon Street, Brookline, MA and can be reached out via phone at 617-566-8194.

Location: 1364 Beacon Street, Brookline, MA, 01801-1009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265666812
Provider Name
Lady Grace Stores, Inc.
Credential
Provider Entity Type
Organization
Address
1364 Beacon Street, Brookline, MA, 01801-1009
Phone Number
617-566-8194
Fax Number
Provider Enumeration Date
05/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1364 Beacon Street
City
Brookline
State
Massachusetts
Zip
02446
Phone Number
617-566-8194
Fax Number
person
Provider Business Mailing Address Details
Address
1364 Beacon Street
City
Brookline
State
Massachusetts
Zip
02446
Phone Number
617-566-8194
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Massachusetts)
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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