IndividualActive
Brea Martin
NPI 1104508266 · Prosthetic/Orthotic Supplier · Mobile, AL
Provider details
- NPI number
- 1104508266
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Practice location
4366 Midmost Dr Ste E
Mobile, AL 36609-5524
Phone: (251) 279-0421
Approximate (ZIP-level) locationGet directions
Mailing address
4366 Midmost Dr Ste E
Mobile, AL 36609-5524
Registry dates
- Enumerated
- 2023-08-07
- Last updated
- 2023-08-07
- Certified
- 2023-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.