Organization
PEDIATRIC REHABILITATIVE ORTHOTIC SERVICES LTD CO
Active
Other names
PROS
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN THIES (OFFICE MANAGER)
(918) 518-5980
Entity
Organization
Contact information
Practice address
480 E 141ST ST STE E, GLENPOOL, OK 74033-3550
(918) 518-5980
(918) 518-5982
Mailing address
480 E 141ST ST STE E, GLENPOOL, OK 74033-3550
(918) 518-5980
(918) 518-5982
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
11
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200069410A
—
OK
05
—
200748390A
—
KS
Enumeration date
11/01/2012
Last updated
08/22/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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