| NPI | 1871306167 |
|---|---|
| Doing Business As | PEDIATRIC ORTHOTICS AND PROSTHETICS OF GRAND BLANC |
| Entity Type | Organization |
| Authorized Contact | DARRICK CONLEY CEO 810-498-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224P00000X Prosthetist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-02-13 |