Organization
RESTORATIVE PROSTHETICS & ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDMOND J RESTIVO JR. C.P.O. (OWNER)
(251) 654-6012
Entity
Organization
Contact information
Practice address
28080 US HIGHWAY 98 STE G, DAPHNE, AL 36526-7012
(251) 654-6012
(251) 345-1138
Mailing address
28080 US HIGHWAY 98 STE G, DAPHNE, AL 36526-7012
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
335E00000
AL
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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