Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | LP9 | OK |
NPI | 1295972933 |
---|---|
Provider Name | Michael Sean Harrington |
First Address | Tulsa, OK 74104-4614 |
Second Address | Tulsa, OK 74104-4614 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2009 |
Last Update Date | 20/01/2009 |