Organization
RETONYA J. WALTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RETONYA J WALTERS (OWNER)
(918) 683-5825
Entity
Organization
Contact information
Practice address
102 N. 2ND, MUSKOGEE, OK 74401-6601
(918) 683-5828
(918) 683-5828
Mailing address
205 HERITAGE CT, FORT GIBSON, OK 74434-8409
(918) 683-5828
(918) 683-5828
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
NA
OK
Other
Enumeration date
01/07/2008
Last updated
10/20/2008
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