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An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Orthotics/Prosthetics Fitter |
225000000X |
| NPI # | 1972326163 |
| LBN Legal business name | GREAT LAKES ORTHOTICS AND PROSTHETICS |
| Authorized official | TYNESHIA MCFARLAND-WILLIAMS - (EMPLOYEE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/05/2024 |
| Last updated | 11/05/2024 - More than a year ago |
| Identifiers | n/a |
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GREAT LAKES ORTHOTICS AND PROSTHETICS