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Mattie's Bra Shop
Prosthetic/Orthotic Supplier in Ellicott City, Maryland
NPI 1497866610

Mattie's Bra Shop is a Prosthetic/Orthotic Supplier based in Columbia, MD. Mattie's Bra Shop practices in Ellicott City, MD. The NPI Number for Mattie's Bra Shop is 1497866610 and holds a License No. (Maryland).

The current practice location address for Mattie's Bra Shop is 8457 Baltimore National Pike, Ellicott City, MD and can be reached out via phone at 410-750-7950 and via fax at 410-730-8402.

Location: 8457 Baltimore National Pike, Ellicott City, MD, 21044-2705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497866610
Provider Name
Mattie's Bra Shop
Credential
Provider Entity Type
Organization
Address
8457 Baltimore National Pike, Ellicott City, MD, 21044-2705
Phone Number
410-750-7950
Fax Number
410-730-8402
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
361103505 05 MD
institution
Provider Business Practice Location Address Details
Address
8457 Baltimore National Pike
City
Ellicott City
State
Maryland
Zip
21043-4209
Phone Number
410-750-7950
Fax Number
410-730-8402
person
Provider Business Mailing Address Details
Address
8457 Baltimore National Pike
City
Ellicott City
State
Maryland
Zip
21043-4209
Phone Number
410-750-7950
Fax Number
410-730-8402
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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