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Lisa Ferestad Salon, Llc
Prosthetic/Orthotic Supplier in Marietta, Georgia
NPI 1003409442

Lisa Ferestad Salon, Llc is a Prosthetic/Orthotic Supplier based in Smyrna, GA. Lisa Ferestad Salon, Llc practices in Marietta, GA. The NPI Number for Lisa Ferestad Salon, Llc is 1003409442 and holds a License No. (Georgia).

The current practice location address for Lisa Ferestad Salon, Llc is 531 Roselane St Nw Ste 630, Marietta, GA and can be reached out via phone at 678-643-2373.

Location: 531 Roselane St Nw Ste 630, Marietta, GA, 30080-1104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003409442
Provider Name
Lisa Ferestad Salon, Llc
Credential
Provider Entity Type
Organization
Address
531 Roselane St Nw Ste 630, Marietta, GA, 30080-1104
Phone Number
678-643-2373
Fax Number
Provider Enumeration Date
02/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
531 Roselane St Nw Ste 630
City
Marietta
State
Georgia
Zip
30060-6973
Phone Number
678-643-2373
Fax Number
person
Provider Business Mailing Address Details
Address
531 Roselane St Nw Ste 630
City
Marietta
State
Georgia
Zip
30060-6973
Phone Number
678-643-2373
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
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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