Organization
UNIQUE BOUTIQUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MARIE KUCHARSKI-NELSON (MANAGER)
(704) 377-4356
Entity
Organization
Contact information
Practice address
4830 MONROE RD STE A, CHARLOTTE, NC 28205-7856
(704) 377-4356
(704) 377-9361
Mailing address
2021 E 7TH ST, CHARLOTTE, NC 28204
(704) 377-4356
(704) 377-9361
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0193430001
DME
NC
Enumeration date
01/30/2006
Last updated
07/10/2024
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