ACTIVE MOBILITY UPSTATE LLC NPI 1871780742

NPI Information

ACTIVE MOBILITY UPSTATE LLC is a prosthetic orthotic supplier in Spartanburg, SC. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. ACTIVE MOBILITY UPSTATE LLC NPI is 1871780742. The provider is registered as an organization entity type.
The provider Is Doing Business As Carolina Orthotics And Prosthetics Llc.

The provider's business location address is:

115 GARNER ROAD
SPARTANBURG, SC
ZIP 29303
Phone: (864) 541-0028
Fax: (864) 541-0027

The provider's authorized official is Clarence R Hooper .
The authorized official title is President and has the following contact phone number (843) 577-9577.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 6/26/2017.

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:

Other Identifiers

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