Most Relevant Information
Provider Data
| NPI Number: | 1003173931 |
| Provider Name: | DEEPAK KUMAR CERTIFIED ORTHOTIST |
| Entity Type: | Individual |
| Taxonomy Code: | 222Z00000X |
| Specialty: | Orthotist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/17/2012 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
525 E JEFFERSON AVE
DETROIT
MI
482264324
Practice Location Phone/Fax
| Phone: | 3139657884 |
| Fax: |
Provider Mailing Location
1429 N O ST
LAKE WORTH
FL
334601958
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |