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PERRUQUE BOUTIQUE NPI 1952962193


NPI Information

NPI: 1952962193
Provider Name: PERRUQUE BOUTIQUE
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
3037F BOONE TRAIL EXT STE 2
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 758-8644
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PERRUQUE BOUTIQUE is a prosthetic orthotic supplier in Fayetteville, NC. 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. PERRUQUE BOUTIQUE NPI is 1952962193. The provider is registered as an organization entity type.

The provider's business location address is:

3037F BOONE TRAIL EXT STE 2
FAYETTEVILLE, NC
ZIP 28304-805
Phone: (910) 758-8644
Fax: (910) 758-8666

The provider's authorized official is Joann Yost .
The authorized official title is Owner and has the following contact phone number (910) 758-8644.

The enumeration date for this NPI number is 6/27/2019 and was last updated on 6/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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