Shawnee Pedorthic Service, Inc.

NPI #1922106509 in Shawnee, Oklahoma

Provider Information

NPI Number
1922106509
Entity Type
Organization
Organization Name
Shawnee Pedorthic Service, Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date
Sep 20, 2006
Last Updated
Sep 30, 2014

Practice Location

Address
1510 N KICKAPOO AVE
Address 2
SUITE 11
ZIP Code
74804-4331
Phone
(405) 275-1996

Authorized Official

Name
MRS. LINDA S KRIWANEK, C.PED., L.PED.
Title
OWNER, SECRETARY OF CORP.
Phone
(405) 275-1996

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment

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