Organization
INNOVATIVE ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BREST C.O. C.PED (ORTHOTIST/ PRESIDENT)
(918) 745-2260
Entity
Organization
Contact information
Practice address
6218 S LEWIS AVE, STE 125, TULSA, OK 74136-1018
(918) 745-2260
(918) 745-2271
Mailing address
6218 S LEWIS AVE, STE 125, TULSA, OK 74136-1018
(918) 745-2260
(918) 745-2271
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/10/2006
Last updated
08/22/2020
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