Organization
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WADEKAMPER (MANAGER)
(916) 453-2170
Entity
Organization
Contact information
Practice address
2425 STOCKTON BLVD, SUITE 236, SACRAMENTO, CA 95817-2215
(916) 453-2170
(916) 453-5024
Mailing address
PO BOX 947109, ATLANTA, GA 30394-7109
(916) 453-2170
(916) 453-5024
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
04/23/2025
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