NPI 1154525616

John Toby Imm, BCO

Practitioner Orthotic Fitter Pensacola, FL

Practice location

Address: 113 Palafox Pl, Pensacola, FL 32502-5629
Phone: (850) 380-8184
Fax: (850) 434-1830

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1154525616
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2007
Record last updated: 8 Jul 2007

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.