| NPI | 1437771110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITRA NASH PHIFER Hair Loss Specialist 704-923-1469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 1744P3200X Specialist Prosthetics Case Management |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2025-07-02 |