Organization
ORTHOTIC & PROSTHETIC ASSOCIATES INC
Active
Organization
ORTHOTIC & PROSTHETIC ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELINA R GIBSON (OFFICE MANAGER)
(251) 433-0400
Entity
Organization
Contact information
Practice address
1557 SPRING HILL AVE STE A, MOBILE, AL 36604-3218
(251) 433-0400
(251) 433-9940
Mailing address
1557 SPRING HILL AVE STE A, MOBILE, AL 36604-3218
(251) 433-0400
(251) 433-9940
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
25
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009960730
—
AL
01
—
48611
HEALTH SPRINGS
AL
01
—
51501036
BLUE CROSS BLUE SHIELD
AL
Enumeration date
12/18/2006
Last updated
03/27/2017
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