| NPI | 1538118161 |
|---|---|
| Doing Business As | SPECIALTY PROSTHETICS AND ORTHOTICS OF TULSA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL O'BRIEN FENNER President 918-832-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK LPO 13) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-01-11 |