LADY GRACE STORES, INC. is a prosthetic orthotic supplier in South Portland, ME. 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. LADY GRACE STORES, INC. NPI is 1700013935. The provider is registered as an organization entity type.
The provider's business location address is:
343 GORHAM RD
SOUTH PORTLAND, ME
ZIP 04106-317
Phone: (207) 774-8139
The provider's authorized official is Bruce I Green .
The authorized official title is Treasurer and has the following contact phone number (781) 322-1721.
The enumeration date for this NPI number is 6/15/2009 and was last updated on 6/15/2009.