Provider Demographics
NPI:1205604816
Name:PRETTY FLAWS COMPANY
Entity type:Organization
Organization Name:PRETTY FLAWS COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCMA
Authorized Official - Prefix:
Authorized Official - First Name:JIMMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-245-7262
Mailing Address - Street 1:317 ALBERT ST
Mailing Address - Street 2:
Mailing Address - City:TURTLE CREEK
Mailing Address - State:PA
Mailing Address - Zip Code:15145-1704
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:317 ALBERT ST STE 1
Practice Address - Street 2:
Practice Address - City:TURTLE CREEK
Practice Address - State:PA
Practice Address - Zip Code:15145-1704
Practice Address - Country:US
Practice Address - Phone:412-245-7262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier