Organization · NPI-2

Active Mobility, LLC

· Brunswick, ME

NPI number1962912931
StatusActive
Last updated in NPPESNov 15, 2017

Details

NPI
1962912931
Entity type
Organization (NPI-2)
Legal business name
Active Mobility, LLC
Organization subpart
No
Enumeration date
Oct 4, 2017
Last updated
Nov 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Z00000X ––Yes
224P00000X Prosthetist––

Practice location

14 Thomas Point Rd
Brunswick, ME 04011-3911

Phone 207-607-4297

Mailing address

639 Blackstrap Rd
Falmouth, ME 04105-2488

Phone 207-749-3789

Authorized official

Stephen Todd Hamilton
Orthotist/Prosthetist
2077493789

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other providers in Brunswick, ME