Mark Chimento, CP, LPO
Mark Chimento, CP, LPO is a Prosthetic/Orthotic Supplier in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2007
Practice location Address checks out
13205 S 117th East AveBroken Arrow, OK 74011-5203
Phone: (918) 456-3114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X · Licence 44 (OK) |
|---|
Record details
| NPI number | 1497883391 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CP , LPO |
| Sole proprietor | Yes |
| NPI enumerated | March 1, 2007 |
| Last updated in NPPES | February 14, 2008 |
| Mailing address | 13205 S 117th East Ave, Broken Arrow, OK 74011-5203 |