COCOS SHOE STORE INC NPI 1063561256

NPI Information

COCOS SHOE STORE INC is a prosthetic orthotic supplier in Lake Charles, LA. 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. COCOS SHOE STORE INC NPI is 1063561256. The provider is registered as an organization entity type.

The provider's business location address is:

2314 RYAN ST
LAKE CHARLES, LA
ZIP 70601-320
Phone: (337) 439-4751
Fax: (337) 439-1395

The provider's authorized official is Robert J Coco .
The authorized official title is President and has the following contact phone number (337) 439-4751.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 3/11/2008.

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:

Other Identifiers

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