Organization · Type 2 NPI

Active Mobility, LLC

Prosthetic/Orthotic Supplier · Charleston, SC

NPI number 1811968720 Active

Practice location

18 Leinbach Dr, Unit E
Charleston, SC 29407-7916

Fax (843) 377-0845

Mailing address

3465 W Montague Ave Ste 101
North Charleston, SC 29418-5938

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X010714845 (SC)

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 1811968720

Active Mobility, LLC's National Provider Identifier is 1811968720, issued on Jan 30, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Charleston, SC. The record was last updated on Aug 9, 2012.