Charles A Anderson, CP Valid NPI
Individual provider · Prosthetist · Oklahoma City, OK
- NPI
- 1720225477
- Type
- Individual (Type 1)
- Primary specialty
- Prosthetist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 224P00000X
- License number
- LP11 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-01-16
- Last updated
- 2009-01-16
Practice location
4301 N Classen Blvd
Oklahoma City, OK 73118-5031
(405) 525-4000