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Organization

COASTAL ORTHOTICS AND PROSTHETICS LLC

Active
Parent organization
COASTAL ORTHOTICS AND PROSTHETICS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
COASTAL ORTHOTICS AND PROSTHETICS LLC
Authorized official
SEAN W NORTHEY CP (OWNER)
(985) 345-9940
Entity
Organization

Contact information

Practice address
1100 C M FAGAN DR, SUITE 100, HAMMOND, LA 70403-5963
(985) 345-9940
(985) 345-9941
Mailing address
1100 C.M. FAGAN DR, SUITE 100, HAMMOND, LA 70403
(985) 345-9940
(985) 345-9941

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2128337
LA
Enumeration date
02/15/2010
Last updated
08/21/2025
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