OrganizationActive
Innovative Prosthetic Care, LLC
NPI 1679852586 · Prosthetic/Orthotic Supplier · Mobile, AL
Provider details
- NPI number
- 1679852586
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Leslie Patton, Owner/Manager(251) 470-0901
- License
- 535 (AL)
Specialties & taxonomies
Suppliers
Practice location
1109 Wi-65 Service Rd N
Mobile, AL 36618
Phone: (251) 470-0901
Fax: (251) 650-1671
Approximate (ZIP-level) locationGet directions
Mailing address
9034b Carl Legett Rd
Gulfport, MS 39503-6234
Registry dates
- Enumerated
- 2011-08-09
- Last updated
- 2011-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.