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Lady Grace Stores, Inc.
Prosthetic/Orthotic Supplier in South Portland, Maine
NPI 1700013935

Lady Grace Stores, Inc. is a Prosthetic/Orthotic Supplier based in South Portland, ME. Lady Grace Stores, Inc. practices in South Portland, ME. The NPI Number for Lady Grace Stores, Inc. is 1700013935 and holds a License No. (Maine).

The current practice location address for Lady Grace Stores, Inc. is 343 Gorham Rd, South Portland, ME and can be reached out via phone at 207-774-8139.

Location: 343 Gorham Rd, South Portland, ME, 04106-2317
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Provider Profile Details
NPI Number
1700013935
Provider Name
Lady Grace Stores, Inc.
Credential
Provider Entity Type
Organization
Address
343 Gorham Rd, South Portland, ME, 04106-2317
Phone Number
207-774-8139
Fax Number
Provider Enumeration Date
06/15/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
343 Gorham Rd
City
State
Zip
04106-2317
Phone Number
207-774-8139
Fax Number
person
Provider Business Mailing Address Details
Address
343 Gorham Rd
City
State
Zip
04106-2317
Phone Number
207-774-8139
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
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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