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
LAURI WALSH (MANAGER - OFFICE/COMPLIANCE)
(616) 840-8268
Entity
Organization
Contact information
Practice address
200 N HOMER ST, LANSING, MI 48912-4741
(616) 840-8007
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8268
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224L00000X
Pedorthist
—
—
224P00000X
Prosthetist
—
—
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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