| NPI | 1265970040 |
|---|---|
| Doing Business As | DBA: SPECIALTY PROSTHETICS & ORTHOTICS TECHNOLOGIES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL O FENNER President 918-832-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |