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Coastal Orthotics And Prosthetics Llc
Prosthetic/Orthotic Supplier in Mandeville, Louisiana
NPI 1932101227

Coastal Orthotics And Prosthetics Llc is a Prosthetic/Orthotic Supplier based in Mandeville, LA. Coastal Orthotics And Prosthetics Llc practices in Mandeville, LA. The NPI Number for Coastal Orthotics And Prosthetics Llc is 1932101227 and holds a License No. (Louisiana).

The current practice location address for Coastal Orthotics And Prosthetics Llc is 4600 Highway 22, Mandeville, LA and can be reached out via phone at 985-626-1135 and via fax at 985-626-1174.

Location: 4600 Highway 22, Mandeville, LA, 70471-2891
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932101227
Provider Name
Coastal Orthotics And Prosthetics Llc
Credential
Provider Entity Type
Organization
Address
4600 Highway 22, Mandeville, LA, 70471-2891
Phone Number
985-626-1135
Fax Number
985-626-1174
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06484500 05 MS
G5261 01 LA BLUE CROSS/BLUE SHIELD
1116726 05 LA
institution
Provider Business Practice Location Address Details
Address
4600 Highway 22
City
Mandeville
State
Louisiana
Zip
70471-2891
Phone Number
985-626-1135
Fax Number
985-626-1174
person
Provider Business Mailing Address Details
Address
4600 Highway 22
City
Mandeville
State
Louisiana
Zip
70471-2891
Phone Number
985-626-1135
Fax Number
985-626-1174
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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