Larry R Walton
Larry R Walton is a Prosthetic/Orthotic Supplier in Portage, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1220 W Milham AvePortage, MI 49024-1206
Phone: (269) 382-9900
Fax: (269) 382-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 039773 (MI) |
|---|---|
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X · Licence 039773 (MI) |
Record details
| NPI number | 1063440311 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 28, 2006 |
| Last updated in NPPES | August 11, 2011 |
| Mailing address | 1220 West Milham Ave, Portage, MI 49024-1206 |
Other providers in Portage
-
Bionic Prosthetics and Orthotics Group LLC
5401 Portage Rd Ste 2, Portage, MI 49002-1736 · (269) 350-5906