Organization
ORTHOSPORTS ASSOCIATES LLC
Active
Parent organization
ORTHOSPORTS ASSOCIATES LLC
Other names
OrthoSports Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOSPORTS ASSOCIATES LLC
Authorized official
LORI W SILLS (OFFICE MANAGER)
(205) 939-0447
Entity
Organization
Contact information
Practice address
2104 ROCKY RIDGE RD, HOOVER, AL 35216-5138
(205) 939-0477
(205) 939-0418
Mailing address
833 SAINT VINCENTS DR STE 403, BIRMINGHAM, AL 35205-1614
(205) 939-0447
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127553
—
AL
Enumeration date
04/06/2021
Last updated
04/06/2021
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