YOUR IMAGE BOUTIQUE INC NPI 1922105899

NPI Information

YOUR IMAGE BOUTIQUE INC is a prosthetic orthotic supplier in El Paso, TX. 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. YOUR IMAGE BOUTIQUE INC NPI is 1922105899. The provider is registered as an organization entity type.

The provider's business location address is:

3401 MONTANA AVE
EL PASO, TX
ZIP 79903-330
Phone: (915) 564-5923
Fax: (915) 565-1310

The provider's authorized official is Elizabeth Lorraine Martinez .
The authorized official title is President/owner and has the following contact phone number (915) 564-5923.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 4/23/2013.

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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