Coosa Valley Limb & Brace, LLC

Organization Active NPI Prosthetic/Orthotic Supplier · Talladega, AL

NPI 1124014915 · NPPES record last updated Nov 12, 2008

Key facts

NPI
1124014915
Entity type
Organization (NPI type 2)
Primary specialty
Prosthetic/Orthotic Supplier 335E00000X
License
015 (AL)
Legal business name
COOSA VALLEY LIMB & BRACE, LLC
Practice address
315 Percy St
Talladega, AL 35160-2158
Phone
(256) 315-0660
Fax
(256) 315-0673
NPI assigned
Sep 27, 2005
Organization subpart
No

Authorized official

Name
Rick Partain, CPO
Title
Owner
Phone
(256) 315-0660

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 015 AL Yes

Addresses

Primary practice location

315 Percy St
Talladega, AL 35160-2158

Mailing address

315 Percy St
Talladega, AL 35160-2158
Phone (256) 315-0660

Other providers in Talladega, AL

All providers in Talladega, AL · Prosthetic/Orthotic Supplier in Alabama

Sources for this page

Verify at the official NPI Registry.