Organization · Type 2 NPI
Cocos Shoe Store Inc
Prosthetic/Orthotic Supplier · Lake Charles, LA
Practice location
2314 Ryan St
Lake Charles, LA 70601-7320
Fax (337) 439-1395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: 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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About NPI 1063561256
Cocos Shoe Store Inc's National Provider Identifier is 1063561256, issued on Jan 9, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Lake Charles, LA. The record was last updated on Mar 11, 2008.