broken nose / pediatric face mask / basketball

Website STAT Order Placed: - 1/17/17 Shipped: 1/18/17
By: Billi W./West Des Moines, IA
RX: Protective Face Mask for Nasal Fracture
Diagnosis: Broken Nose / Unspecified Injury of Nose
ICD-10-CM Diagnosis Code: S09.92XA
Sport: Basketball
Hoosier Mask Model: Hoosier (custom made pediatric)
Website: www.indianabrace.com
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
Made in Indianapolis, Indiana USA