| NPI | 1750149480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ROGERS Cranial Prothesis Specialist/ Owner 203-923-3904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |