Individual
ELIZABETH JOAN ISENSEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPO, LPO, MPO
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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