Individual
ELIZABETH JOAN ISENSEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPO, LPO, MPO
Contact information
Practice address
3451 36TH AVE NW STE 180, NORMAN, OK 73072-2483
(405) 447-5402
Mailing address
3451 36TH AVE NW STE 180, NORMAN, OK 73072-2483
(405) 447-5402
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
116
OK
222Z00000X
Orthotist
Primary
1893
TX
224P00000X
Prosthetist
116
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116
OKLAHOMA BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
01
—
1893
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
11/17/2017
Last updated
01/25/2021
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