NPI 1104508266

Brea Martin

Practitioner Prosthetic/Orthotic Supplier Mobile, AL

Practice location

Address: 4366 Midmost Dr STE E, Mobile, AL 36609-5524
Phone: (251) 279-0421

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1104508266
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2023
Record last updated: 7 Aug 2023

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.