NPI 1962912931

Active Mobility, LLC

Organisation Orthotist Brunswick, ME

Practice location

Address: 14 Thomas Point Rd, Brunswick, ME 04011-3911
Phone: (207) 607-4297
Mailing address: 639 Blackstrap Rd, Falmouth, ME 04105-2488

Authorised official

Name: Stephen Todd Hamilton
Title: Orthotist/Prosthetist
Phone: (207) 749-3789

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1962912931
Entity type: Organization
NPI issued: 4 Oct 2017
Record last updated: 15 Nov 2017

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.