Individual
REY AMEZQUITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED ORTHOTIST
Contact information
Practice address
4802 S 109TH EAST AVE, BRACE SHOP, TULSA, OK 74146-5822
(918) 392-1500
(918) 392-1590
Mailing address
4802 S 109TH EAST AVE, BRACE SHOP, TULSA, OK 74146-5822
(918) 392-1500
(918) 392-1590
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
57
OK
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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