Individual provider · Type 1 NPI

Brea Martin

Prosthetic/Orthotic Supplier · Mobile, AL

NPI number 1104508266 Active

Practice location

4366 Midmost Dr Ste E
Mobile, AL 36609-5524

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: 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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About NPI 1104508266

Brea Martin's National Provider Identifier is 1104508266, issued on Aug 7, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Mobile, AL. The record was last updated on Aug 7, 2023.