Individual
MR. BRANDON SHANE HYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
3451 36TH AVE NW STE 180, NORMAN, OK 73072-2483
(405) 447-5402
(405) 447-5684
Mailing address
3451 36TH AVE NW STE 180, NORMAN, OK 73072-2483
(405) 447-5402
(405) 447-5684
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LPO79
OK
224P00000X
Prosthetist
Primary
LPO79
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO02663
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, & PEDORTHICS
—
Enumeration date
06/03/2010
Last updated
04/27/2012
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