Recreate Mastectomy Products & Boutique

NPI #1740438696 in Missoula, Montana

Provider Information

NPI Number
1740438696
Entity Type
Organization
Organization Name
Recreate Mastectomy Products & Boutique
Subpart
Yes (part of a larger organization)
Parent Organization
MISSOULA ORTHOTICS & PROSTHETICS LABORATORY, INC.
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Sep 4, 2008
Last Updated
Jul 24, 2009

Practice Location

Address
116 SOUTH AVE W
State
Montana
ZIP Code
59801-8116
Phone
(406) 721-4242

Authorized Official

Name
MRS. KAREN J WILLIAMS, R.N.
Title
TREASURER
Phone
(406) 549-0921

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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