MARY FREE BED ORTHOTICS AND PROSTHETICS NPI 1184607335

NPI Information

MARY FREE BED ORTHOTICS AND PROSTHETICS is a prosthetic orthotic supplier in Grand Rapids, MI. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MARY FREE BED ORTHOTICS AND PROSTHETICS NPI is 1184607335. The provider is registered as an organization entity type.
The provider Is Doing Business As Mary Free Bed Brace And Corset Shop.

The provider's business location address is:

235 WEALTHY ST SE
STE 1100
GRAND RAPIDS, MI
ZIP 49503-247
Phone: (616) 840-8433
Fax: (616) 840-9504

The provider's authorized official is Mark A Porth .
The authorized official title is Chief Compliance Officer and has the following contact phone number (616) 840-8433.

The enumeration date for this NPI number is 11/22/2005 and was last updated on 3/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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