| NPI | 1386019073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA DODSON Hair Loss Specialist 216-673-8527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2015-12-06 |
| Last Update Date | 2020-06-30 |