| NPI | 1770544769 |
|---|---|
| Doing Business As | D/B/A OSU-OMULGEE ORTHOTIC, PROSTHETIC AND PEDORTHIC CENTER |
| Entity Type | Organization |
| Authorized Contact | SHELLEY PERKINS Clinical Director 918-293-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 3) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OK 3) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 13) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-08-22 |