Organization
ORTHOTICS WEST, INC
Active
Other names
Pink Petal Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA REED (BUSINESS ADMINISTRATOR)
(413) 736-3000
Entity
Organization
Contact information
Practice address
460 GRANBY RD, SOUTH HADLEY, MA 01075-2145
(413) 534-7465
(413) 534-7466
Mailing address
3455 MAIN ST, SPRINGFIELD, MA 01107-1147
(413) 736-3000
(413) 739-3000
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
10/03/2007
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