Organization
THE WIG FACTORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. QUTERIA TEAGUE (MGR)
(407) 613-6031
Entity
Organization
Contact information
Practice address
418 N PINE HILLS RD STE H, ORLANDO, FL 32811-1653
(407) 613-6031
Mailing address
501 S KIRKMAN RD # 616303, ORLANDO, FL 32811-2007
(407) 315-2917
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
06/28/2023
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