MMJ COCOS BOUTIQUE INC is a prosthetic orthotic supplier in Munster, IN. 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. MMJ COCOS BOUTIQUE INC NPI is 1114195062. The provider is registered as an organization entity type.
The provider's business location address is:
921 RIDGE RD # 2
MUNSTER, IN
ZIP 46321-739
Phone: (219) 836-0011
Fax: (219) 836-0011
The provider's authorized official is Marisol Patino .
The authorized official title is Owner and has the following contact phone number (219) 836-0011.
The enumeration date for this NPI number is 2/13/2008 and was last updated on 7/24/2008.