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Sole Source Llc Your Diabetic Shoe Store
Prosthetic/Orthotic Supplier in Ypsilanti, Michigan
NPI 1063778884

Sole Source Llc Your Diabetic Shoe Store is a Prosthetic/Orthotic Supplier based in Ypsilanti, MI. Sole Source Llc Your Diabetic Shoe Store practices in Ypsilanti, MI. The NPI Number for Sole Source Llc Your Diabetic Shoe Store is 1063778884 and holds a License No. (Michigan).

The current practice location address for Sole Source Llc Your Diabetic Shoe Store is 50 N Huron St, Ypsilanti, MI and can be reached out via phone at 734-340-9614 and via fax at 734-879-2774.

Location: 50 N Huron St, Ypsilanti, MI, 48197-2608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063778884
Provider Name
Sole Source Llc Your Diabetic Shoe Store
Credential
Provider Entity Type
Organization
Address
50 N Huron St, Ypsilanti, MI, 48197-2608
Phone Number
734-340-9614
Fax Number
734-879-2774
Provider Enumeration Date
04/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
50 N Huron St
City
Ypsilanti
State
Michigan
Zip
48197-2608
Phone Number
734-340-9614
Fax Number
734-879-2774
person
Provider Business Mailing Address Details
Address
50 N Huron St
City
Ypsilanti
State
Michigan
Zip
48197-2608
Phone Number
734-340-9614
Fax Number
734-879-2774
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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