Organization
O'SULLIVAN ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GARTHRIGHT SR. (PRESIDENT)
(580) 323-5666
Entity
Organization
Contact information
Practice address
4250 BANNER RD, NOBLE, OK 73068-5305
(405) 948-9381
(405) 948-9381
Mailing address
PO BOX 653, CLINTON, OK 73601-0653
(580) 323-5666
(580) 323-6084
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
11
OK
Other
Enumeration date
07/30/2006
Last updated
08/22/2020
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