Individual
MRS. JENNIFER DIANE TALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
4207 W MEMORIAL RD, OKLAHOMA CITY, OK 73134-1761
(405) 525-4000
(405) 530-3670
Mailing address
4207 W MEMORIAL RD, OKLAHOMA CITY, OK 73134-1761
(405) 525-4000
(405) 530-3670
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LO50
OK
224P00000X
Prosthetist
Primary
LP37
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO03055
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS & PROSTHETICS
—
Enumeration date
08/29/2012
Last updated
12/08/2016
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