# ORTHOTICS WEST, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pink Petal Boutique
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760431951
- **Authorized official:** DONNA REED (BUSINESS ADMINISTRATOR)
- **Authorized official phone:** (413) 736-3000

## Contact information

- **Practice address:** 460 GRANBY RD, SOUTH HADLEY, MA 01075-2145
- **Practice address phone:** (413) 534-7465
- **Practice address fax:** (413) 534-7466
- **Mailing address:** 3455 MAIN ST, SPRINGFIELD, MA 01107-1147
- **Mailing address phone:** (413) 736-3000
- **Mailing address fax:** (413) 739-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 10/03/2007
