Organization
PRO TEC ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN REED BRIGANCE C.O.,L.O. (ORTHOTIST)
(405) 570-4790
Entity
Organization
Contact information
Practice address
3625 W MAIN ST, SUITE 108, NORMAN, OK 73072-4656
(405) 570-4790
(405) 570-4790
Mailing address
3625 W MAIN ST, SUITE 108, NORMAN, OK 73072-4656
(405) 570-4790
(405) 570-4790
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
LO 10
OK
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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