NPI 1124014915

Coosa Valley Limb & Brace, LLC

Organisation Prosthetic/Orthotic Supplier Talladega, AL

Practice location

Address: 315 Percy St, Talladega, AL 35160-2158
Phone: (256) 315-0660
Fax: (256) 315-0673

Authorised official

Name: Rick Partain
Title: Owner
Phone: (256) 315-0660

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 015 (AL)

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Registry record

NPI: 1124014915
Entity type: Organization
NPI issued: 27 Sep 2005
Record last updated: 12 Nov 2008

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.