NPI 1093080905

Pedorthic Footcare of Oklahoma

Organisation Prosthetic/Orthotic Supplier Oklahoma City, OK

Practice location

Address: 5100 N Brookline Ave STE 330, Oklahoma City, OK 73112-3603
Phone: (405) 924-7306
Fax: (405) 600-7287

Authorised official

Name: Kevin Jaeger
Title: Certified & Licensed Pedorthist
Phone: (405) 924-7306

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 84 (OK)

Other Prosthetic/Orthotic Supplier providers in Oklahoma →

Registry record

NPI: 1093080905
Entity type: Organization
NPI issued: 12 Mar 2012
Record last updated: 12 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.