Custom Broken Nose Mask / Madrid Model / ICD-10 - S09.92XA

Website Order Placed: 1/8/2017
By: Asher L./Beverly Hills, CA
RX:  Hoosier Protective Face Mask for nasal Fracture - click here
Diagnosis: Broken Nose / Unspecified Injury of Nose
ICD-10-CM Diagnosis Code: S09.92XA
Sport: Soccer
Hoosier Mask Model: Madrid
Website: www.indianabrace.com - click here
Phone: 1-800-253-6217 ask for Clyde
Email: clyde.peach@indianabrace.com
Clyde Peach, CO - ABC Certified Orthotist #1321
ABC - American Board for Certification in Orthotics and Prosthetics - click here
Made in Indiana USA