| NPI | 1326524745 |
|---|---|
| Other Name | MARY FREE BED ORTHOTICS AND PROSTHETICS LANSING |
| Entity Type | Organization |
| Authorized Contact | MARK A PORTH Compliance Manager 616-840-8433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 224L00000X Pedorthist |
| 224P00000X Prosthetist | |
| 225000000X Orthotic Fitter | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |