LADY GRACE STORES INC. NPI 1891922076

NPI Information

LADY GRACE STORES, INC. is a prosthetic orthotic supplier in Salem, NH. 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 1891922076. The provider is registered as an organization entity type.

The provider's business location address is:

236 N BROADWAY
SALEM, NH
ZIP 03079-131
Phone: (603) 898-0522

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 6/16/2009 and was last updated on 6/16/2009.

Taxonomy Codes

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Other Identifiers

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