Organization · Type 2 NPI

Mattie's Bra Shop

Prosthetic/Orthotic Supplier · Ellicott City, MD

NPI number 1497866610 Active

Practice location

8457 Baltimore National Pike, Suite 17
Ellicott City, MD 21043-4209

Fax (410) 730-8402

Mailing address

5514 Harvest Scene Ct
Columbia, MD 21044-2705

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 1497866610

Mattie's Bra Shop's National Provider Identifier is 1497866610, issued on Aug 31, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Ellicott City, MD. The record was last updated on Jun 18, 2008.