| NPI | 1528639275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON PROWELL Owner/Certified Hair Loss Specialis 216-413-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2021-07-05 |