NPI 1083671606

Orthotic Prosthetic Design, LLC

Organisation Prosthetic/Orthotic Supplier Northport, AL

Practice location

Address: 1061 Martin Luther King Jr Blvd, Northport, AL 35476-4035
Phone: (205) 248-2193
Fax: (205) 248-2195

Authorised official

Name: Mark Edward Smith
Title: Managing Member
Phone: (205) 248-2193

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence #51 (AL)

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Registry record

NPI: 1083671606
Entity type: Organization
NPI issued: 27 Apr 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.