Healthcare Provider Details

I. General information

NPI: 1871413716
Provider Name (Legal Business Name): PROSTHETIC BEAUTY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 E CITY AVE
BALA CYNWYD PA
19004-2421
US

IV. Provider business mailing address

45 E CITY AVE
BALA CYNWYD PA
19004-2421
US

V. Phone/Fax

Practice location:
  • Phone: 833-272-7669
  • Fax:
Mailing address:
  • Phone: 833-272-7669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER THOMPSON
Title or Position: CFO
Credential:
Phone: 833-272-7669