Organization
COASTAL PROSTHETICS AND ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY SIVERD (ADMINISTRATIVE EXECUTIVE)
(757) 892-5300
Entity
Organization
Contact information
Practice address
1008 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3071
(757) 892-5300
(757) 892-5303
Mailing address
433 NETWORK STA, CHESAPEAKE, VA 23320-3851
(757) 892-5300
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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