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NPI 1811968720

OrganizationActive

Active Mobility, LLC

NPI 1811968720 · Prosthetic/Orthotic Supplier · Charleston, SC

Provider details

NPI number: 1811968720
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Authorized official: Clarence Hooper, Ceo
License: 010714845 (SC)

Practice location

18 Leinbach Dr

Unit E

Charleston, SC 29407-7916

Phone: (843) 377-0847

Fax: (843) 377-0845

More SC providers

Mailing address

3465 W Montague Ave Ste 101

N Charleston, SC 29418-5938

Registry dates

Enumerated: 2006-01-30
Last updated: 2012-08-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Active Mobility, LLC — NPI 1811968720, Charleston, SC | NPI Central