Organization · Type 2 NPI
Innovative Prosthetic Care, LLC
Prosthetic/Orthotic Supplier · Mobile, AL
Practice location
1109 WI-65 Service Rd N
Mobile, AL 36618
Fax (251) 650-1671
Mailing address
9034B Carl Legett Rd
Gulfport, MS 39503-6234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 535 (AL) |
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 1679852586
Innovative Prosthetic Care, LLC's National Provider Identifier is 1679852586, issued on Aug 9, 2011. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Mobile, AL. The record was last updated on Oct 13, 2011.