| NPI | 1992243752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ERIC SIMPSON Owner/ Clinical Director 580-255-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK LP13) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |