The Forms Boutique, Inc. is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Columbia, South Carolina. It is situated at 3308 Forest Dr, Columbia and its contact number is 803-738-8400. The authorized person of The Forms Boutique, Inc. is Mrs. Amy D. Mclellan
who is President of the store and his/her contact number is 803-799-7096. The Forms Boutique, Inc. 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.
Complete Center Profile:
The Forms Boutique, Inc. Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
3308 Forest Dr, Columbia, South Carolina, 29204-4024
Phone:
803-738-8400
Fax:
803-738-8498
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Amy D. Mclellan
Position:
President
Contact Number:
803-799-7096
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for The Forms Boutique, Inc. center are as mentioned below.
NPI Number:
1689768376
NPI Enumeration Date:
03 Oct, 2006
NPI Last Update On:
17 Mar, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Forms Boutique, Inc. are as mentioned below.
Specialization
License Number
State
Status
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
556570
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
The Forms Boutique, Inc. 3308 Forest Dr, Columbia, South Carolina
Zip:
29204-4024
Phone Number:
803-738-8400
Fax Number:
803-738-8498
Patients can reach The Forms Boutique, Inc. at 3308 Forest Dr, Columbia, South Carolina or can call to book an appointment on 803-738-8400. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Centers in Columbia, SC
The Mane Atrraction On Clemson Speciality: Prosthetic & Orthotic Address: 2000 Clemson Rd, Suite 5, Columbia, SC Phone: 803-788-7832