OrganizationActive
Cranial Technologies, Inc.
NPI 1104514215 · Prosthetic/Orthotic Supplier · Providence, RI
Provider details
- NPI number
- 1104514215
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Cranial Technologies, Inc.
- Organization subpart
- Yes
- Authorized official
- Oumou Bah, Compliance & Medicaid Specialist(602) 393-8188
Specialties & taxonomies
Suppliers
- Customized Equipment (DME)332BC3200X
Suppliers
Practice location
235 Georgia Ave Ste 101
Providence, RI 02905-4516
Phone: (844) 447-5895
Approximate (ZIP-level) locationGet directions
Mailing address
1405 W Auto Dr Fl 2
Tempe, AZ 85284-1227
Registry dates
- Enumerated
- 2023-04-26
- Last updated
- 2023-04-26
- Certified
- 2023-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.