Organization · Type 2 NPI
Your Image Boutique Inc
Prosthetic/Orthotic Supplier · El Paso, TX
Practice location
3401 Montana Ave
El Paso, TX 79903-4330
Fax (915) 565-1310
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 1922105899
Your Image Boutique Inc's National Provider Identifier is 1922105899, issued on Sep 20, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in El Paso, TX. The record was last updated on Apr 23, 2013.