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Coastal Prosthetics And Orthotics, Llc
Prosthetic/Orthotic Supplier in Chesapeake, Virginia
NPI 1164990040

Coastal Prosthetics And Orthotics, Llc is a Prosthetic/Orthotic Supplier based in Chesapeake, VA. Coastal Prosthetics And Orthotics, Llc practices in Chesapeake, VA. The NPI Number for Coastal Prosthetics And Orthotics, Llc is 1164990040 and holds a License No. (Virginia).

The current practice location address for Coastal Prosthetics And Orthotics, Llc is 433 Network Sta, Chesapeake, VA and can be reached out via phone at 757-892-5300 and via fax at 757-892-5303.

Location: 433 Network Sta, Chesapeake, VA, 23320-3851
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164990040
Provider Name
Coastal Prosthetics And Orthotics, Llc
Credential
Provider Entity Type
Organization
Address
433 Network Sta, Chesapeake, VA, 23320-3851
Phone Number
757-892-5300
Fax Number
757-892-5303
Provider Enumeration Date
11/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009190414 05 VA
0049190414 05 VA
institution
Provider Business Practice Location Address Details
Address
433 Network Sta
City
Chesapeake
State
Virginia
Zip
23320-3851
Phone Number
757-892-5300
Fax Number
757-892-5303
person
Provider Business Mailing Address Details
Address
433 Network Sta
City
Chesapeake
State
Virginia
Zip
23320-3851
Phone Number
757-892-5300
Fax Number
757-892-5303
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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