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M&g Custom Shoes And Orthotics Llc
Prosthetic/Orthotic Supplier in Antioch, California
NPI 1902076987

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 Antioch, CA. The NPI Number for M&g Custom Shoes And Orthotics Llc is 1902076987 and holds a License No. CPED0350 (California).

The current practice location address for M&g Custom Shoes And Orthotics Llc is 1504 A St, Antioch, CA and can be reached out via phone at 925-305-1855 and via fax at 925-755-8601. You can also correspond with M&g Custom Shoes And Orthotics Llc through the mailing address at 1504 A ST, ANTIOCH, CA - 94509-2333 (mailing address contact number: 925-305-1855).

Location: 1504 A St, Antioch, CA, 94509-2333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902076987
Provider Name
M&g Custom Shoes And Orthotics Llc
Credential
Provider Entity Type
Organization
Address
1504 A St, Antioch, CA, 94509-2333
Phone Number
925-305-1855
Fax Number
925-755-8601
Provider Enumeration Date
03/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1504 A St
City
Antioch
State
California
Zip
94509-2333
Phone Number
925-305-1855
Fax Number
925-755-8601
person
Provider Business Mailing Address Details
Address
1504 A St
City
Antioch
State
California
Zip
94509-2333
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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