TOTAL TRANSFORMATION VIRGIN HAIR NPI 1912570318

NPI Information

TOTAL TRANSFORMATION VIRGIN HAIR is a prosthetic orthotic supplier in Grand Rapids, MI. 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. TOTAL TRANSFORMATION VIRGIN HAIR NPI is 1912570318. The provider is registered as an organization entity type.

The provider's business location address is:

2035 28TH ST SE STE D
GRAND RAPIDS, MI
ZIP 49508-549
Phone: (616) 719-0401

The provider's authorized official is Timothy L Woodson .
The authorized official title is Owner/perruquier and has the following contact phone number (616) 726-0193.

The enumeration date for this NPI number is 7/22/2021 and was last updated on 7/22/2021.

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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