Organization
ELEVATE ORTHOTICS AND PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSVALDO H MELEGATTI CP LPO (MANAGING OFFICER)
(405) 413-8259
Entity
Organization
Contact information
Practice address
5417 SPITZ DR, OKLAHOMA CITY, OK 73135-2343
(405) 960-4422
Mailing address
5417 SPITZ DR, OKLAHOMA CITY, OK 73135-2343
(405) 960-4422
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
31
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200747810A
—
OK
Enumeration date
07/14/2017
Last updated
03/19/2024
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