person
Mr. Edmond J Restivo JR., CPO
Prosthetic/Orthotic Supplier in Mobile, Alabama
NPI 1043558976

Edmond J Restivo JR. is a Prosthetic/Orthotic Supplier based in Mobile, AL. Edmond J Restivo JR. practices in Mobile, AL and has the professional credentials of CPO. The NPI Number for Edmond J Restivo JR. is 1043558976 and holds a License No. 331216298 (Alabama).

The current practice location address for Edmond J Restivo JR. is 3456 Spring Hill Ave Ste 19, Mobile, AL and can be reached out via phone at 251-605-2529. You can also correspond with Edmond J Restivo JR. through the mailing address at 3456 SPRING HILL AVE STE 19, MOBILE, AL - 36608-1523 (mailing address contact number: 251-605-2529).

Location: 3456 Spring Hill Ave Ste 19, Mobile, AL, 36608-1523
person
Provider Profile Details
NPI Number
1043558976
Provider Name
Edmond J Restivo JR.
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
3456 Spring Hill Ave Ste 19, Mobile, AL, 36608-1523
Phone Number
251-605-2529
Fax Number
Provider Enumeration Date
01/28/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
331216298 01 LA TAX
institution
Provider Business Practice Location Address Details
Address
3456 Spring Hill Ave Ste 19
City
State
Zip
36608-1523
Phone Number
251-605-2529
Fax Number
person
Provider Business Mailing Address Details
Address
3456 Spring Hill Ave Ste 19
City
State
Zip
36608-1523
Phone Number
251-605-2529
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
331216298 (Louisiana)
Definition
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.
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