| NPI | 1104558436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATERA NELSON Cranial Prosthesis Specialist 412-567-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |