| NPI | 1619929643 |
|---|---|
| Doing Business As | MARY FREE BED BRACE AND CORSET SHOP |
| Entity Type | Organization |
| Authorized Contact | MARK A PORTH Chief Compliance Officer 616-356-1916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-07-21 |