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Antilishia O'bannon, CRANIALPROSTHESIS
Prosthetic/Orthotic Supplier in Southfield, Michigan
NPI 1760243661

Antilishia O'bannon is a Prosthetic/Orthotic Supplier based in Southfield, MI. Antilishia O'bannon practices in Southfield, MI and has the professional credentials of CRANIALPROSTHESIS. The NPI Number for Antilishia O'bannon is 1760243661 and holds a License No. (Michigan).

The current practice location address for Antilishia O'bannon is 25140 Lahser Rd Ste 212, Southfield, MI and can be reached out via phone at 313-452-2662.

Location: 25140 Lahser Rd Ste 212, Southfield, MI, 48033-6200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760243661
Provider Name
Antilishia O'bannon
Credential
CRANIALPROSTHESIS
Provider Entity Type
Individual
Gender
Female
Address
25140 Lahser Rd Ste 212, Southfield, MI, 48033-6200
Phone Number
313-452-2662
Fax Number
Provider Enumeration Date
01/17/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25140 Lahser Rd Ste 212
City
Southfield
State
Michigan
Zip
48033-6200
Phone Number
313-452-2662
Fax Number
person
Provider Business Mailing Address Details
Address
25140 Lahser Rd Ste 212
City
Southfield
State
Michigan
Zip
48033-6200
Phone Number
313-452-2662
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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