institution
Pediatric Rehabilitative Orthotic Services Ltd Co
Customized Equipment (DME) in Glenpool, Oklahoma
NPI 1922352780

Pediatric Rehabilitative Orthotic Services Ltd Co is a Customized Equipment (DME) based in Glenpool, OK and is specialized in Customized Equipment. Pediatric Rehabilitative Orthotic Services Ltd Co practices in Glenpool, OK. The NPI Number for Pediatric Rehabilitative Orthotic Services Ltd Co is 1922352780 and holds a License No. 11 (Oklahoma).

The current practice location address for Pediatric Rehabilitative Orthotic Services Ltd Co is 480 E 141St St Ste E, Glenpool, OK and can be reached out via phone at 918-518-5980 and via fax at 918-518-5982.

Location: 480 E 141St St Ste E, Glenpool, OK, 74033-3550
institution
Provider Profile Details
NPI Number
1922352780
Provider Name
Pediatric Rehabilitative Orthotic Services Ltd Co
Credential
Provider Entity Type
Organization
Address
480 E 141St St Ste E, Glenpool, OK, 74033-3550
Phone Number
918-518-5980
Fax Number
918-518-5982
Provider Enumeration Date
11/01/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
200069410A 05 OK
200748390A 05 KS
institution
Provider Business Practice Location Address Details
Address
480 E 141St St Ste E
City
State
Zip
74033-3550
Phone Number
918-518-5980
Fax Number
918-518-5982
person
Provider Business Mailing Address Details
Address
480 E 141St St Ste E
City
State
Zip
74033-3550
Phone Number
918-518-5980
Fax Number
918-518-5982
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
11 (Oklahoma)
Definition
Definition to come...
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