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Organization

ANDERSON PROSTHETICS & ORTHOTICS, LLC

Active
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Organization

ANDERSON PROSTHETICS & ORTHOTICS, LLC

Active
Other names
ForMotion Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
BRADFORD NEIL GARDNER (DIRECTOR)
(615) 864-8783
Entity
Organization

Contact information

Practice address
1113 N FANT ST, ANDERSON, SC 29621-4819
(864) 225-1683
(864) 231-7374
Mailing address
1113 N FANT ST, ANDERSON, SC 29621-4819
(864) 225-1683
(864) 231-7374

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00926428A
GA
05
DE1943
SC
Enumeration date
05/05/2006
Last updated
07/13/2026
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