THE FORMS BOUTIQUE, INC. is a prosthetic orthotic supplier in Columbia, SC. The provider is 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. THE FORMS BOUTIQUE, INC. NPI is 1689768376. The provider is registered as an organization entity type.
The provider's business location address is:
3308 FOREST DR
COLUMBIA, SC
ZIP 29204-024
Phone: (803) 738-8400
Fax: (803) 738-8498
The provider's authorized official is Amy D. Mclellan .
The authorized official title is President and has the following contact phone number (803) 799-7096.
The enumeration date for this NPI number is 10/3/2006 and was last updated on 3/17/2020.