institution
The Lace Wig Store And Salon, Llc
Prosthetic/Orthotic Supplier in Mobile, Alabama
NPI 1770719536

The Lace Wig Store And Salon, Llc is a Prosthetic/Orthotic Supplier based in Mobile, AL. The Lace Wig Store And Salon, Llc practices in Mobile, AL. The NPI Number for The Lace Wig Store And Salon, Llc is 1770719536 and holds a License No. 012455 (Alabama).

The current practice location address for The Lace Wig Store And Salon, Llc is 3202 Dauphin St, Mobile, AL and can be reached out via phone at 251-300-8036.

Location: 3202 Dauphin St, Mobile, AL, 36606-4001
institution
Provider Profile Details
NPI Number
1770719536
Provider Name
The Lace Wig Store And Salon, Llc
Credential
Provider Entity Type
Organization
Address
3202 Dauphin St, Mobile, AL, 36606-4001
Phone Number
251-300-8036
Fax Number
Provider Enumeration Date
06/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3202 Dauphin St
City
State
Zip
36606-4001
Phone Number
251-300-8036
Fax Number
person
Provider Business Mailing Address Details
Address
3202 Dauphin St
City
State
Zip
36606-4001
Phone Number
251-300-8036
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
012455 (Alabama)
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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