NPI 1396155222

Rey Amezquita, CERTIFIEDORTHOTIST

Practitioner Orthotist Tulsa, OK

Practice location

Address: 4802 S 109th East Ave Brace Shop, Tulsa, OK 74146-5822
Phone: (918) 392-1500
Fax: (918) 392-1590

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 57 (OK)

Other Orthotist providers in Oklahoma →

Registry record

NPI: 1396155222
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2014
Record last updated: 30 Apr 2014

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.