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
1924 LANDSTOWN CENTRE WAY STE 109, BOX # 13 FOR MAIL, VIRGINIA BEACH, VA 23456-1624
(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
09/01/2016
Last updated
05/14/2024
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