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M&g Custom Shoes And Orthotics Llc
Prosthetic/Orthotic Supplier in Walnut Creek, California
NPI 1609135029

M&g Custom Shoes And Orthotics Llc is a Prosthetic/Orthotic Supplier based in Antioch, CA. M&g Custom Shoes And Orthotics Llc practices in Walnut Creek, CA. The NPI Number for M&g Custom Shoes And Orthotics Llc is 1609135029 and holds a License No. CPED0350 (California).

The current practice location address for M&g Custom Shoes And Orthotics Llc is 2950 Buskirk Ave, Walnut Creek, CA and can be reached out via phone at 925-305-1855 and via fax at 925-755-8601.

Location: 2950 Buskirk Ave, Walnut Creek, CA, 94509-2333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609135029
Provider Name
M&g Custom Shoes And Orthotics Llc
Credential
Provider Entity Type
Organization
Address
2950 Buskirk Ave, Walnut Creek, CA, 94509-2333
Phone Number
925-305-1855
Fax Number
925-755-8601
Provider Enumeration Date
05/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2950 Buskirk Ave
City
Walnut Creek
State
California
Zip
94597-7779
Phone Number
925-305-1855
Fax Number
925-755-8601
person
Provider Business Mailing Address Details
Address
2950 Buskirk Ave
City
Walnut Creek
State
California
Zip
94597-7779
Phone Number
925-305-1855
Fax Number
925-755-8601
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CPED0350 (California)
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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