Organization · Type 2 NPI

MMJ Cocos Boutique Inc

Prosthetic/Orthotic Supplier · Munster, IN

NPI number 1114195062 Active

Practice location

921 Ridge Rd # 2
Munster, IN 46321-1739

Fax (219) 836-0011

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone 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 1114195062

MMJ Cocos Boutique Inc's National Provider Identifier is 1114195062, issued on Feb 13, 2008. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Munster, IN. The record was last updated on Jul 24, 2008.