Individual provider · Type 1 NPI
John Michael Brest, C.O., C.PED
Prosthetic/Orthotic Supplier · Sapulpa, OK
Practice location
4011 Frontier Rd
Sapulpa, OK 74066-9383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | LO 18 (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 1699082990
John Michael Brest, C.O., C.PED's National Provider Identifier is 1699082990, issued on Sep 8, 2010. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Sapulpa, OK. The record was last updated on Sep 8, 2010.