Organization
ADVANCED BIOMECHANICAL CONCEPTS PLLC
Active
Other names
ABC Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY FOSTER (MANAGER)
(502) 261-1488
Entity
Organization
Contact information
Practice address
11872 CAPITAL WAY, LOUISVILLE, KY 40299-6332
(502) 261-1488
(502) 261-1470
Mailing address
11872 CAPITAL WAY, LOUISVILLE, KY 40299-6332
(502) 261-1488
(502) 261-1470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
CO004117
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689798522
ANTHEM
KY
05
—
90008012
—
KY
Enumeration date
10/27/2010
Last updated
03/15/2011
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