NPI 1043558976

Edmond J Restivo, CPO

Practitioner Prosthetic/Orthotic Supplier Mobile, AL

Practice location

Address: 3456 Spring Hill Ave STE 19, Mobile, AL 36608-1523
Phone: (251) 605-2529

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 331216298 (LA)

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Registry record

NPI: 1043558976
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jan 2013
Record last updated: 28 Jan 2013

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.