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Coastal Prosthetic & Orthotic Laboratory Inc
Prosthetic/Orthotic Supplier in Murrells Inlet, South Carolina
NPI 1720079262

Coastal Prosthetic & Orthotic Laboratory Inc is a Prosthetic/Orthotic Supplier based in Murrells Inlet, SC. Coastal Prosthetic & Orthotic Laboratory Inc practices in Murrells Inlet, SC. The NPI Number for Coastal Prosthetic & Orthotic Laboratory Inc is 1720079262 and holds a License No. 026218673 (South Carolina).

The current practice location address for Coastal Prosthetic & Orthotic Laboratory Inc is 11871 Plaza Drive, Murrells Inlet, SC and can be reached out via phone at 843-651-8570 and via fax at 843-651-2461.

Location: 11871 Plaza Drive, Murrells Inlet, SC, 29576-9351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720079262
Provider Name
Coastal Prosthetic & Orthotic Laboratory Inc
Credential
Provider Entity Type
Organization
Address
11871 Plaza Drive, Murrells Inlet, SC, 29576-9351
Phone Number
843-651-8570
Fax Number
843-651-2461
Provider Enumeration Date
11/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
557506 05 SC
institution
Provider Business Practice Location Address Details
Address
11871 Plaza Drive
City
Murrells Inlet
State
South Carolina
Zip
29576-9351
Phone Number
843-651-8570
Fax Number
843-651-2461
person
Provider Business Mailing Address Details
Address
11871 Plaza Drive
City
Murrells Inlet
State
South Carolina
Zip
29576-9351
Phone Number
843-651-8570
Fax Number
843-651-2461
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
026218673 (South Carolina)
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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