Kensington Valley Orthotic & Sports Services
Prosthetic/Orthotic Supplier in Hamburg, MI. Organization (NPI-2).
NPI number1528033909
StatusActive
Last updated in NPPESApr 13, 2011
Details
- NPI
- 1528033909
- Entity type
- Organization (NPI-2)
- Legal business name
- Kensington Valley Orthotic & Sports Services
- Organization subpart
- No
- Enumeration date
- Feb 21, 2006
- Last updated
- Apr 13, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
10020 Professional Canter Dr.Hamburg, MI 48139-0215
Phone 810-231-6905 · Fax 810-231-6906
Mailing address
Po Box 215Hamburg, MI 48139-0215
Phone 810-231-6905 · Fax 801-231-6906
Authorized official
Daniel Quentin Minert
President/Owner
8102316905
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