Mr. Edmond J Restivo JR., CPO - Mobile, AL

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.

Location: 3456 Spring Hill Ave Ste 19, Mobile, AL, 36608-1523

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

Identifier	Type	State	Issuer
331216298	01	LA	TAX

Address

3456 Spring Hill Ave Ste 19

City

Mobile

State

Alabama

Zip

36608-1523

Phone Number

251-605-2529

Fax Number

Address

3456 Spring Hill Ave Ste 19

City

Mobile

State

Alabama

Zip

36608-1523

Phone Number

251-605-2529

Fax Number

Type

Suppliers

Classification

Prosthetic/Orthotic Supplier

Speciality

Taxonomy

335E00000X

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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