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Active Mobility Upstate Llc
Prosthetic/Orthotic Supplier in Spartanburg, South Carolina
NPI 1871780742

Active Mobility Upstate Llc is a Prosthetic/Orthotic Supplier based in N Charleston, SC. Active Mobility Upstate Llc practices in Spartanburg, SC. The NPI Number for Active Mobility Upstate Llc is 1871780742 and holds a License No. 042523929 (South Carolina).

The current practice location address for Active Mobility Upstate Llc is 115 Garner Road, Spartanburg, SC and can be reached out via phone at 864-541-0028 and via fax at 864-541-0027.

Location: 115 Garner Road, Spartanburg, SC, 29418-5938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871780742
Provider Name
Active Mobility Upstate Llc
Credential
Provider Entity Type
Organization
Address
115 Garner Road, Spartanburg, SC, 29418-5938
Phone Number
864-541-0028
Fax Number
864-541-0027
Provider Enumeration Date
09/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE3088 05 SC
institution
Provider Business Practice Location Address Details
Address
115 Garner Road
City
Spartanburg
State
South Carolina
Zip
29303
Phone Number
864-541-0028
Fax Number
864-541-0027
person
Provider Business Mailing Address Details
Address
115 Garner Road
City
Spartanburg
State
South Carolina
Zip
29303
Phone Number
864-541-0028
Fax Number
864-541-0027
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
042523929 (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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