| NPI | 1154359537 |
|---|---|
| Former Legal Business Name | MARY FREE BED BRACE AND CORSET SHOP |
| Doing Business As | MARY FREE BED BRACE AND CORSET SHOP |
| Entity Type | Organization |
| Authorized Contact | ROB TUCK Director Of O & P Compliance 616-840-8225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-10-04 |