Organization
ABILITY BIOMECHANICS INT'L INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E PRATER (OFFICE MANAGER)
(619) 285-5040
Entity
Organization
Contact information
Practice address
6190 FAIRMOUNT AVE, SUITE A, SAN DIEGO, CA 92120-3428
(619) 285-5040
(619) 285-5045
Mailing address
6190 FAIRMOUNT AVE, SUITE A, SAN DIEGO, CA 92120-3428
(619) 285-5040
(619) 285-5045
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA0900X
Amputee Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXC000630
—
CA
Enumeration date
06/09/2005
Last updated
11/18/2009
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