Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clt Custom Cranial Prosthesis

Organization Prosthetic/Orthotic Supplier · NPI 1891621587

Clt Custom Cranial Prosthesis is a Prosthetic/Orthotic Supplier in Charlotte, North Carolina. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3709 Eastway Dr
Charlotte, NC 28205-6266
Phone: (704) 996-7818
Fax: (980) 430-3075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1891621587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Gray — Ceo · (704) 996-7818
NPI enumeratedJune 20, 2026
Last updated in NPPESJune 20, 2026
Certification dateJune 20, 2026
Mailing address3709 Eastway Dr, Charlotte, NC 28205-6266

Other providers in Charlotte