Organization · Type 2 NPI
Divine Beauty Supply Inc
Prosthetic/Orthotic Supplier · Shreveport, LA
Practice location
2715 Mackey Pl Ste 130
Shreveport, LA 71118-2528
Mailing address
810 Polk St
Mansfield, LA 71052-2414
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.
Another provider at this address
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About NPI 1306615422
Divine Beauty Supply Inc's National Provider Identifier is 1306615422, issued on Dec 29, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Shreveport, LA. The record was last updated on Dec 29, 2023.