Organization
WEST COAST ORTHOTIC & PROSTHETIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JENNIFER K CREE SR. (CONTRACT CORDINATOR)
(209) 845-8231
Entity
Organization
Contact information
Practice address
3215 N CALIFORNIA ST, STE 2, STOCKTON, CA 95204
(209) 942-4166
(209) 942-4168
Mailing address
693 HI TECH PKWY, OAKDALE, CA 95361-9372
(209) 845-8231
(209) 845-2883
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/22/2006
Last updated
04/30/2008
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