Organization
ALABAMA PROSTHETICS & ORTHOTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY THERESE POWERWATTS LCPO (CO-OWNER)
(334) 361-9984
Entity
Organization
Contact information
Practice address
101 MEDICAL CENTER CT, PRATTVILLE, AL 36066-7279
(334) 361-9984
(334) 361-8385
Mailing address
101 MEDICAL CENTER CT, PRATTVILLE, AL 36066-7279
(334) 361-9984
(334) 361-8385
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
44
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44
LICENSE
AL
01
—
51056078
BCBS
AL
Enumeration date
08/22/2007
Last updated
08/22/2007
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