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Mark Chimento, CP,LPO
Prosthetic/Orthotic Supplier in Broken Arrow, Oklahoma
NPI 1497883391

Mark Chimento is a Prosthetic/Orthotic Supplier based in Broken Arrow, OK. Mark Chimento practices in Broken Arrow, OK and has the professional credentials of CP,LPO. The NPI Number for Mark Chimento is 1497883391 and holds a License No. 44 (Oklahoma).

The current practice location address for Mark Chimento is 13205 S 117Th East Ave, Broken Arrow, OK and can be reached out via phone at 918-456-3114.

Location: 13205 S 117Th East Ave, Broken Arrow, OK, 74011-5203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497883391
Provider Name
Mark Chimento
Credential
CP,LPO
Provider Entity Type
Individual
Gender
Male
Address
13205 S 117Th East Ave, Broken Arrow, OK, 74011-5203
Phone Number
918-456-3114
Fax Number
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
13205 S 117Th East Ave
City
Broken Arrow
State
Oklahoma
Zip
74011-5203
Phone Number
918-456-3114
Fax Number
person
Provider Business Mailing Address Details
Address
13205 S 117Th East Ave
City
Broken Arrow
State
Oklahoma
Zip
74011-5203
Phone Number
918-456-3114
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
44 (Oklahoma)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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