STRONG STANCE ORTHOTICS & FITNESS NPI 1063825412

NPI Information

STRONG STANCE ORTHOTICS & FITNESS is a specialist in Birmingham, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. STRONG STANCE ORTHOTICS & FITNESS NPI is 1063825412. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Progressive Athletic Development.

The provider's business location address is:

1529 BESSEMER RD
BIRMINGHAM, AL
ZIP 35208-016
Phone: (205) 249-9793

The provider's authorized official is Dedrick Lanard Agee .
The authorized official title is Owner and has the following contact phone number (205) 249-9793.

The enumeration date for this NPI number is 6/3/2014 and was last updated on 6/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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