Provider Demographics
NPI:1871734947
Name:RANGE OF MOTION
Entity type:Organization
Organization Name:RANGE OF MOTION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEP
Authorized Official - Middle Name:VICENC
Authorized Official - Last Name:FELIU
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED PROSTHETIS
Authorized Official - Phone:252-430-8778
Mailing Address - Street 1:1302 DABNEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-3531
Mailing Address - Country:US
Mailing Address - Phone:252-430-8778
Mailing Address - Fax:252-430-8770
Practice Address - Street 1:1302 DABNEY DRIVE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-3531
Practice Address - Country:US
Practice Address - Phone:252-430-8778
Practice Address - Fax:252-430-8770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCP003692335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6418900001Medicare NSC