Organization · Type 2 NPI

Survivor Gals Specialty Products and Salon LLC

Prosthetic/Orthotic Supplier · Fort Worth, TX

NPI number 1669778916 Active

Practice location

1400 8th Ave Ste 100-A
Fort Worth, TX 76104-4110

Call (817) 924-8800 Map

Fax (817) 924-5500

Mailing address

3000 Custer Rd Ste 190
Plano, TX 75075-2082

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: 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.

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NPI record

NPI: 1669778916
Entity type: Organization (Type 2)
Issued: Feb 3, 2011
Last updated: Sep 13, 2011
Status: Active
Subpart: Yes of Survivor Gals Specialty Productsand Salon LLC

Other names

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Survivor Gals Specialty Products Fort Worth · doing business as

Authorized official

Jennifer Grunwald
Owner
(972) 599-7677

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669778916

Survivor Gals Specialty Products and Salon LLC's National Provider Identifier is 1669778916, issued on Feb 3, 2011. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 13, 2011.