| NPI | 1649261249 |
|---|---|
| Doing Business As | FIRM FOUNDATIONS BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | DEIRDRE B BRADLEY Owner/Fitter 606-834-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: KY 149620) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-08-22 |