| NPI | 1124227384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENNA J FRAWNER Owner 405-550-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 20) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 27) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |