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Eastern Shore Orthotics &
Prosthetic/Orthotic Supplier in Fairhope, Alabama
NPI 1710987144

Eastern Shore Orthotics & is a Prosthetic/Orthotic Supplier based in Dallas, AL. Eastern Shore Orthotics & practices in Fairhope, AL. The NPI Number for Eastern Shore Orthotics & is 1710987144 and holds a License No. (Alabama).

The current practice location address for Eastern Shore Orthotics & is 19484 Greeno Rd, Fairhope, AL and can be reached out via phone at 251-990-4040 and via fax at 251-990-0594.

Location: 19484 Greeno Rd, Fairhope, AL, 75265-0846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710987144
Provider Name
Eastern Shore Orthotics &
Credential
Provider Entity Type
Organization
Address
19484 Greeno Rd, Fairhope, AL, 75265-0846
Phone Number
251-990-4040
Fax Number
251-990-0594
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
515-23493 01 AL BCBS
223100 05 AL
institution
Provider Business Practice Location Address Details
Address
19484 Greeno Rd
City
Fairhope
State
Alabama
Zip
36532-3887
Phone Number
251-990-4040
Fax Number
251-990-0594
person
Provider Business Mailing Address Details
Address
19484 Greeno Rd
City
Fairhope
State
Alabama
Zip
36532-3887
Phone Number
251-990-4040
Fax Number
251-990-0594
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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