TONY THOTTUKADAVIL

OKLAHOMA CITY, OK
NPI1447782339
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
(Licence: OK  c52463)
Additional Taxonomies1744P3200X Specialist, Prosthetics Case Management
Enumeration Date2017-03-30
Last Update Date2019-04-12
Business Address
Mr. TONY THOTTUKADAVIL C.O.
4207 W MEMORIAL RD
OKLAHOMA CITY, OK 73134
Phone number: 405-525-4000
Mailing Address
Mr. TONY THOTTUKADAVIL C.O.
8236 NW 160TH TER
EDMOND, OK 73013-3350
Phone number: 718-285-5398
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