TERRELL VANZANDT

MCALESTER, OK
NPI1841437589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: OK  LPO17)
Additional Taxonomies222Z00000X Orthotist
(Licence: OK  LPO17)
Enumeration Date2009-01-16
Last Update Date2009-01-16
Business Address
-- TERRELL VANZANDT CPO
1611 N STRONG BLVD
MCALESTER, OK 74501-3847
Phone number: 918-423-1024
Mailing Address
-- TERRELL VANZANDT CPO
1611 N STRONG BLVD
MCALESTER, OK 74501-3847
Phone number: 918-423-1024