Organization
ORTHOTIC CENTER OF WEST ALABAMA, INC.
Active
Other names
Orthotic Center of West Al.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN TIMOTHY BUSH C-PED (OWNER-PRESIDENT)
(205) 339-4900
Entity
Organization
Contact information
Practice address
945 MCFARLAND BLVD, NORTHPORT, AL 35476-3374
(205) 339-4900
(205) 339-4976
Mailing address
945 MCFARLAND BLVD, NORTHPORT, AL 35476-3374
(205) 339-4900
(205) 339-4976
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510 70415
BC/BS
AL
Enumeration date
10/10/2006
Last updated
08/22/2020
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