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Country Cobbler, Ltd.
Prosthetic/Orthotic Supplier in Wilmington, North Carolina
NPI 1780646653

Country Cobbler, Ltd. is a Prosthetic/Orthotic Supplier based in Wilmington, NC. Country Cobbler, Ltd. practices in Wilmington, NC. The NPI Number for Country Cobbler, Ltd. is 1780646653 and holds a License No. 00992 (North Carolina).

The current practice location address for Country Cobbler, Ltd. is 3501 Oleander Dr, Wilmington, NC and can be reached out via phone at 910-772-9994 and via fax at 910-772-1262. You can also correspond with Country Cobbler, Ltd. through the mailing address at 3501 OLEANDER DR, WILMINGTON, NC - 28403-0824 (mailing address contact number: 910-772-9994).

Location: 3501 Oleander Dr, Wilmington, NC, 28403-0824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780646653
Provider Name
Country Cobbler, Ltd.
Credential
Provider Entity Type
Organization
Address
3501 Oleander Dr, Wilmington, NC, 28403-0824
Phone Number
910-772-9994
Fax Number
910-772-1262
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7704409 05 NC
institution
Provider Business Practice Location Address Details
Address
3501 Oleander Dr
City
Wilmington
State
North Carolina
Zip
28403-0824
Phone Number
910-772-9994
Fax Number
910-772-1262
person
Provider Business Mailing Address Details
Address
3501 Oleander Dr
City
Wilmington
State
North Carolina
Zip
28403-0824
Phone Number
910-772-9994
Fax Number
910-772-1262
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
00992 (North Carolina)
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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