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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK CHIMENTO, CP, LPO

Active Sole Proprietor

MARK CHIMENTO, CP, LPO is a Prosthetic/Orthotic Supplier healthcare provider located in BROKEN ARROW, Oklahoma. NPI 1497883391 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · BROKEN ARROW, OK

Registration Details

NPI Number
1497883391
Provider Type
Individual
Gender
Male
NPI Issued
Mar 1, 2007 (19.477612228483 yrs)
Last Updated
Feb 14, 2008
License
44 (OK)
Sole Proprietor
Yes

Practice Information

Address
13205 S 117TH EAST AVE
BROKEN ARROW, OK, 740115203
Browse OK providers · Browse ZIP 74011
Phone
9184563114
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.