Healthcare Provider Details

I. General information

NPI: 1205604816
Provider Name (Legal Business Name): PRETTY FLAWS COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2023
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 ALBERT ST STE 1
TURTLE CREEK PA
15145-1704
US

IV. Provider business mailing address

317 ALBERT ST
TURTLE CREEK PA
15145-1704
US

V. Phone/Fax

Practice location:
  • Phone: 412-245-7262
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JIMMARA SCOTT
Title or Position: CCMA
Credential:
Phone: 412-245-7262