SOLE SOURCE LLC YOUR DIABETIC SHOE STORE is a prosthetic orthotic supplier in Ypsilanti, MI. The provider is 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. SOLE SOURCE LLC YOUR DIABETIC SHOE STORE NPI is 1063778884. The provider is registered as an organization entity type.
The provider's business location address is:
50 N HURON ST
YPSILANTI, MI
ZIP 48197-608
Phone: (734) 340-9614
Fax: (734) 879-2774
The provider's authorized official is Annette Bottum .
The authorized official title is Shoe Fitter and has the following contact phone number (734) 340-9614.
The enumeration date for this NPI number is 4/5/2012 and was last updated on 5/22/2012.