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Dynamic Prosthetics
Prosthetic/Orthotic Supplier in Broken Arrow, Oklahoma
NPI 1730352147

Dynamic Prosthetics is a Prosthetic/Orthotic Supplier based in Broken Arrow, OK. Dynamic Prosthetics practices in Broken Arrow, OK. The NPI Number for Dynamic Prosthetics is 1730352147 and holds a License No. 44 (Oklahoma).

The current practice location address for Dynamic Prosthetics is 13205 S 117Th East Ave, Broken Arrow, OK and can be reached out via phone at 918-456-3114 and via fax at 918-456-3123. You can also correspond with Dynamic Prosthetics through the mailing address at 13205 S 117TH EAST AVE, BROKEN ARROW, OK - 74011-5203 (mailing address contact number: 918-456-3114).

Location: 13205 S 117Th East Ave, Broken Arrow, OK, 74011-5203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730352147
Provider Name
Dynamic Prosthetics
Credential
Provider Entity Type
Organization
Address
13205 S 117Th East Ave, Broken Arrow, OK, 74011-5203
Phone Number
918-456-3114
Fax Number
918-456-3123
Provider Enumeration Date
04/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100812540A 05 OK
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
918-456-3123
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
918-456-3123
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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