NPI 1891036133

Gina Jewell, CFO

Practitioner Orthotic Fitter Grand Rapids, MI

Practice location

Address: 230 Michigan St NE STE 200, Grand Rapids, MI 49503-2502
Phone: (616) 458-8080

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1891036133
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2013
Record last updated: 12 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.