Organization · Type 2 NPI
Mane of Your Dream
Prosthetic/Orthotic Supplier · Rancho Cucamonga, CA
Practice location
11553 Foothill Blvd Ste 101
Rancho Cucamonga, CA 91730-0731
Mailing address
10210 Baseline Rd Spc 267
Alta Loma, CA 91701-6048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Prosthetics Case Management | 1744P3200X | None listed |
| 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
Other prosthetic/orthotic supplier providers in Rancho Cucamonga
About NPI 1629603741
Mane of Your Dream's National Provider Identifier is 1629603741, issued on Mar 9, 2020. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Mar 9, 2020.