NPI 1114405412

Perfect Balance Boutique

Organisation Mastectomy Fitter Lehighton, PA

Practice location

Address: 813 Fredericks Grove Rd, Lehighton, PA 18235-9661
Phone: (484) 464-3295

Authorised official

Name: Kimberly Nicole Gerhard
Title: Owner
Phone: (484) 464-3295

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Registry record

NPI: 1114405412
Entity type: Organization
NPI issued: 30 Jul 2018
Record last updated: 30 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.