Antilishia O'Bannon, CRANIALPROSTHESIS
Antilishia O'Bannon, CRANIALPROSTHESIS is a Prosthetic/Orthotic Supplier in Southfield, Michigan. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
25140 Lahser Rd Ste 212Southfield, MI 48033-6200
Phone: (313) 452-2662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1760243661 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CRANIALPROSTHESIS |
| Sole proprietor | Yes |
| NPI enumerated | January 17, 2024 |
| Last updated in NPPES | January 17, 2024 |
| Certification date | January 17, 2024 |
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