Organization
TETER ORTHOTICS & PROSTHETICS, INC
Active
Parent organization
HANGER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER INC
Authorized official
GRACE ANGELINE (REG COMPLIANCE SPECIALIST III)
(714) 961-2102
Entity
Organization
Contact information
Practice address
2645 W HOUGHTON LAKE DR STE 1, HOUGHTON LAKE, MI 48629-8262
(989) 366-0698
(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
3820261415
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4947031
—
MI
Enumeration date
07/19/2006
Last updated
10/20/2021
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