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West Coast Orthotic & Prosthetic Ser Inc
Prosthetic/Orthotic Supplier in Lodi, California
NPI 1841261955

West Coast Orthotic & Prosthetic Ser Inc is a Prosthetic/Orthotic Supplier based in Lodi, CA. West Coast Orthotic & Prosthetic Ser Inc practices in Lodi, CA. The NPI Number for West Coast Orthotic & Prosthetic Ser Inc is 1841261955 and holds a License No. (California).

The current practice location address for West Coast Orthotic & Prosthetic Ser Inc is 400 E Kettleman Ln, Lodi, CA and can be reached out via phone at 209-333-1148 and via fax at 209-333-0624.

Location: 400 E Kettleman Ln, Lodi, CA, 95240-5962
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841261955
Provider Name
West Coast Orthotic & Prosthetic Ser Inc
Credential
Provider Entity Type
Organization
Address
400 E Kettleman Ln, Lodi, CA, 95240-5962
Phone Number
209-333-1148
Fax Number
209-333-0624
Provider Enumeration Date
01/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GXC000100 05 CA
institution
Provider Business Practice Location Address Details
Address
400 E Kettleman Ln
City
Lodi
State
California
Zip
95240-5962
Phone Number
209-333-1148
Fax Number
209-333-0624
person
Provider Business Mailing Address Details
Address
400 E Kettleman Ln
City
Lodi
State
California
Zip
95240-5962
Phone Number
209-333-1148
Fax Number
209-333-0624
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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