Individual provider · Type 1 NPI
Mark Chimento, CP, LPO
Prosthetic/Orthotic Supplier · Broken Arrow, OK
Practice location
13205 S 117th East Ave
Broken Arrow, OK 74011-5203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 44 (OK) |
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 1497883391
Mark Chimento, CP, LPO's National Provider Identifier is 1497883391, issued on Mar 1, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Feb 14, 2008.