Organization
TOTAL CARE ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BRESTOVANSKY (OWNER/CLICIAN)
(918) 502-5975
Entity
Organization
Contact information
Practice address
1145 S UTICA AVE, SUITE G 12, TULSA, OK 74104-4000
(539) 664-4422
(918) 779-7055
Mailing address
1145 S UTICA AVE, SUITE G 12, TULSA, OK 74104-4000
(918) 502-5975
(918) 502-5980
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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