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Mane Theory INC.

Prosthetic/Orthotic Supplier in Bronx, NY. Organization (NPI-2).

NPI number1164044699
StatusActive
Last updated in NPPESSep 1, 2022

Details

NPI
1164044699
Entity type
Organization (NPI-2)
Legal business name
Mane Theory INC.
Organization subpart
No
Enumeration date
May 6, 2020
Certification date
Sep 1, 2022
Last updated
Sep 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes
332B00000X Durable Medical Equipment & Medical Supplies––

Practice location

2104 Cross Bronx Expy Apt 4c
Bronx, NY 10472-5245

Phone 347-573-1617

Mailing address

1451 West Ave Ste 7018
Bronx, NY 10462-7304

Phone 347-573-1617

Authorized official

Leata A Williams
Owner
3475731617

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