Organization
PHENOMENAL TRESSES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THAMAR WILLIAMS (PROSTHETIC ORTHOTIC PROVIDER)
(850) 332-3434
Entity
Organization
Contact information
Practice address
1010 S MAGNOLIA DR, TALLAHASSEE, FL 32301-4658
(850) 332-3434
(850) 806-1883
Mailing address
1010 S MAGNOLIA DR, TALLAHASSEE, FL 32301-4658
(850) 332-3434
(850) 806-1883
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
09/01/2022
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