MK GLAM RX NPI 1477228906

NPI Information

MK GLAM RX is a prosthetic orthotic supplier in Philadelphia, PA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MK GLAM RX NPI is 1477228906. The provider is registered as an organization entity type.

The provider's business location address is:

2290 W OREGON AVE # 1026
PHILADELPHIA, PA
ZIP 19145-197
Phone: (267) 399-0081

The provider's authorized official is Maeyonni Westbrook .
The authorized official title is Owner and has the following contact phone number (215) 609-2907.

The enumeration date for this NPI number is 8/16/2021 and was last updated on 8/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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