| NPI | 1245572221 |
|---|---|
| Former Legal Business Name | SEACOAST ORTHOTICS AND PROSTHETICS LLC (FORMER NAME) |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PHILLIPS Member/Partner 603-294-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2019-12-19 |