Organization
TETER ORTHOTICS & PROSTHETICS, INC
Active
Parent organization
TETER ORTHOTICS & PROSTHETICS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TETER ORTHOTICS & PROSTHETICS, INC
Authorized official
GRACE ANGELINE (REG COMPLIANCE SPECIALIST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
1225 W FRONT ST STE A, TRAVERSE CITY, MI 49684-2368
(231) 947-5701
(231) 947-1370
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002499
—
MI
Enumeration date
06/16/2005
Last updated
07/21/2022
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