| NPI | 1275218547 |
|---|---|
| Other Name | OWNER |
| Entity Type | Organization |
| Authorized Contact | FALESHA MARTIN Cranial Prothesis Specialist 717-327-8708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |