| NPI | 1619646353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA OSBORNE Hair Replacement Specialist 706-828-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2025-08-26 |