| NPI | 1639577885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES PRESTRIDGE Certified Prosthetist 405-474-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 47) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |