Organization
ORTHOSPORTS ASSOCIATES LLC
Active
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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