Individual
TERRELL VANZANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1611 N STRONG BLVD, MCALESTER, OK 74501-3847
(918) 423-1024
(918) 423-0611
Mailing address
1611 N STRONG BLVD, MCALESTER, OK 74501-3847
(918) 423-1024
(918) 423-0611
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LPO17
OK
224P00000X
Prosthetist
Primary
LPO17
OK
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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