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The Forms Boutique, Inc.
Prosthetic/Orthotic Supplier in Columbia, South Carolina
NPI 1689768376

The Forms Boutique, Inc. is a Prosthetic/Orthotic Supplier based in Columbia, SC. The Forms Boutique, Inc. practices in Columbia, SC. The NPI Number for The Forms Boutique, Inc. is 1689768376 and holds a License No. (South Carolina).

The current practice location address for The Forms Boutique, Inc. is 3308 Forest Dr, Columbia, SC and can be reached out via phone at 803-738-8400 and via fax at 803-738-8498.

Location: 3308 Forest Dr, Columbia, SC, 29204-4024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689768376
Provider Name
The Forms Boutique, Inc.
Credential
Provider Entity Type
Organization
Address
3308 Forest Dr, Columbia, SC, 29204-4024
Phone Number
803-738-8400
Fax Number
803-738-8498
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
556570 05 SC
institution
Provider Business Practice Location Address Details
Address
3308 Forest Dr
City
Columbia
State
South Carolina
Zip
29204-4024
Phone Number
803-738-8400
Fax Number
803-738-8498
person
Provider Business Mailing Address Details
Address
3308 Forest Dr
City
Columbia
State
South Carolina
Zip
29204-4024
Phone Number
803-738-8400
Fax Number
803-738-8498
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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