Provider Demographics
NPI:1689761587
Name:OKLAHOMA ASSISTIVE TECHNOLOGY CENTER-DURABLE MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:OKLAHOMA ASSISTIVE TECHNOLOGY CENTER-DURABLE MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:J
Authorized Official - Last Name:FERRETTI
Authorized Official - Suffix:
Authorized Official - Credentials:PT,MPH,FAPTA
Authorized Official - Phone:405-271-2434
Mailing Address - Street 1:1600 NORTH PHILLIPS
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104
Mailing Address - Country:US
Mailing Address - Phone:405-271-3625
Mailing Address - Fax:405-271-1707
Practice Address - Street 1:1600 NORTH PHILLIPS
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104
Practice Address - Country:US
Practice Address - Phone:405-271-3625
Practice Address - Fax:405-271-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies