| NPI | 1619561073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY NICOLE BRYANT Cranial Prosthesis Specialist Owner 318-453-3693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2025-04-04 |