NPI 1356965404

Sanjuana Caballero D B a Loveless Shoes INC LLC

Organisation Pedorthist Oklahoma City, OK

Practice location

Address: 4901 W Reno Ave STE 800, Oklahoma City, OK 73127-6398
Phone: (405) 631-9731
Fax: (405) 634-9717
Mailing address: 1899 Saddleback Blvd APT 10, Norman, OK 73072-2857

Authorised official

Name: Sanjuana Rogaciana Caballero
Title: Owner
Phone: (405) 412-8621

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Registry record

NPI: 1356965404
Entity type: Organization
NPI issued: 4 Jun 2020
Record last updated: 4 Jun 2020

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.