| NPI | 1871162321 |
|---|---|
| Doing Business As | THELMA'S BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | RACHEL DIANE CORDOVANA Owner 585-256-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-06-20 |
| Last Update Date | 2022-08-27 |