Organization · Type 2 NPI

One Source of the Gulf Coast Inc.

Prosthetic/Orthotic Supplier · Mobile, AL

NPI number 1487170197 Active

Practice location

1903 Spring Hill Ave
Mobile, AL 36607-2303

Fax (251) 459-8601

Mailing address

3004 Bienville Blvd Ste 1
Ocean Springs, MS 39564-4370

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.

10 other providers at this address

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About NPI 1487170197

One Source of the Gulf Coast Inc.'s National Provider Identifier is 1487170197, issued on Aug 15, 2017. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Mobile, AL. The record was last updated on Jul 30, 2024.