Individual provider · Type 1 NPI
October Lynnell Burris
Prosthetic/Orthotic Supplier · Ada, OK
Practice location
19225 State Highway 1E
Ada, OK 74820-5347
Mailing address
4021 Debi St
Ada, OK 74820-4757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1275480048
October Lynnell Burris's National Provider Identifier is 1275480048, issued on Mar 11, 2026. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Ada, OK. The record was last updated on Mar 11, 2026.