Organization
WEST COAST ORTHOTICS AND PROSTHETICS
Active
Other names
West Coast O & P
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA C RYDER CO (CEO)
(231) 894-0045
Entity
Organization
Contact information
Practice address
4915 STANTON BLVD, MONTAGUE, MI 49437-1039
(231) 894-0045
Mailing address
4915 STANTON BLVD, MONTAGUE, MI 49437-1039
(231) 894-0045
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CO2476
VA
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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