| NPI | 1427730779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LEVATER WILSON Certified Hair Loss Specialist 774-983-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-28 |