Organization
MARY FREE BED ORTHOTICS AND PROSTHETICS
Active
Other names
Mary Free Bed Brace and Corset Shop
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TUCK CPO (COMPLIANCE DIRECTOR)
(616) 502-6488
Entity
Organization
Contact information
Practice address
100 NAVARRE PL STE 5595B, SOUTH BEND, IN 46601-1156
(616) 840-8007
Mailing address
235 WEALTHY ST SE STE 1100, GRAND RAPIDS, MI 49503-5247
(616) 617-0538
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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