Organization · Type 2 NPI
The Forms Boutique, Inc.
Prosthetic/Orthotic Supplier · Columbia, SC
Practice location
3308 Forest Dr
Columbia, SC 29204-4024
Fax (803) 738-8498
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 1689768376
The Forms Boutique, Inc.'s National Provider Identifier is 1689768376, issued on Oct 3, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Columbia, SC. The record was last updated on Mar 17, 2020.