Organization · Type 2 NPI

Mimi's Wig Boutique

Prosthetic/Orthotic Supplier · Dallas, TX

NPI number 1831295575 Active

Practice location

7522 Campbell Rd Ste 112
Dallas, TX 75248-1726

Call (972) 380-5306 Map

Mailing address

13626 Peyton Dr
Dallas, TX 75240-5524

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 1831295575

Mimi's Wig Boutique's National Provider Identifier is 1831295575, issued on Sep 16, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Dallas, TX. The record was last updated on Aug 22, 2020.