Hoosier Custom Face Mask/Broken Nose/ Madrid Soccer mask

Hoosier Custom Face Mask/Broken Nose/ Madrid Soccer mask
Website Order for Normal 24/48 hour delivery Placed: - 1/19/17 Shipped: 1/20/17
By:  D.B./Henderson, CO
RX: Madrid Protective Face Mask for Nasal Fracture - click here
Diagnosis: Broken Nose / Unspecified Injury of Nose
ICD-10-CM Diagnosis Code: S09.92XA - click here for insurance coding
Sport: Soccer
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 Indianapolis, Indiana USA