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Organization

MARY FREE BED ORTHOTICS AND PROSTHETICS

Active
Parent organization
MARY FREE BED ORTHOTICS AND PROSTHETICS
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARY FREE BED ORTHOTICS AND PROSTHETICS
Authorized official
ROBERT TUCK CPO (COMPLIANCE DIRECTOR)
(616) 840-8268
Entity
Organization

Contact information

Practice address
700 COOPER AVE STE 11001A, SAGINAW, MI 48602-5383
(616) 840-8007
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
225000000X
Orthotic Fitter
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
10/15/2019
Last updated
11/13/2025
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