Coastal Prosthetics And Orthotics, LLC
Prosthetic/Orthotic Supplier in Chesapeake, VA. Organization (NPI-2).
NPI number1164990040
StatusActive
Last updated in NPPESJul 2, 2019
Details
- NPI
- 1164990040
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Prosthetics And Orthotics, LLC
- Organization subpart
- No
- Enumeration date
- Nov 8, 2018
- Last updated
- Jul 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
433 Network StaChesapeake, VA 23320-3851
Phone 757-892-5300 · Fax 757-892-5303
Mailing address
433 Network StaChesapeake, VA 23320-3851
Phone 757-892-5300 · Fax 757-892-5303
Authorized official
Karen Vaughn
Administrator
7578285112
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