Organization
SOUTHWEST ORTHOTIC LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE KAY GARTHRIGHT CERTIFIED PEDORTHIST (OWNER)
(405) 848-1317
Entity
Organization
Contact information
Practice address
922 NW 72ND ST, OKLAHOMA CITY, OK 73116-7126
(405) 848-1317
(405) 842-3824
Mailing address
922 NW 72ND ST, OKLAHOMA CITY, OK 73116-7126
(405) 848-1317
(405) 842-3824
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
LPED82
OK
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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