| NPI | 1477199883 |
|---|---|
| Doing Business As | FOUNDATIONS PROFESSIONAL BRA FITTING |
| Entity Type | Organization |
| Authorized Contact | MELISSA LOGOS Owner 228-424-1913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2022-03-15 |