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Active Mobility, Llc
Prosthetic/Orthotic Supplier in Charleston, South Carolina
NPI 1811968720

Active Mobility, Llc is a Prosthetic/Orthotic Supplier based in N Charleston, SC. Active Mobility, Llc practices in Charleston, SC. The NPI Number for Active Mobility, Llc is 1811968720 and holds a License No. 010714845 (South Carolina).

The current practice location address for Active Mobility, Llc is 18 Leinbach Dr, Charleston, SC and can be reached out via phone at 843-377-0847 and via fax at 843-377-0845.

Location: 18 Leinbach Dr, Charleston, SC, 29418-5938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811968720
Provider Name
Active Mobility, Llc
Credential
Provider Entity Type
Organization
Address
18 Leinbach Dr, Charleston, SC, 29418-5938
Phone Number
843-377-0847
Fax Number
843-377-0845
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE2440 05 SC
institution
Provider Business Practice Location Address Details
Address
18 Leinbach Dr
City
Charleston
State
South Carolina
Zip
29407-7916
Phone Number
843-377-0847
Fax Number
843-377-0845
person
Provider Business Mailing Address Details
Address
18 Leinbach Dr
City
Charleston
State
South Carolina
Zip
29407-7916
Phone Number
843-377-0847
Fax Number
843-377-0845
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
010714845 (South Carolina)
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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