BLAKE EVAN BARLOW

OKLAHOMA CITY, OK
NPI1285941922
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: OK  42)
Additional Taxonomies222Z00000X Orthotist
(Licence: OK  42)
Enumeration Date2010-09-01
Last Update Date2010-09-01
Business Address
-- BLAKE EVAN BARLOW CP.LPO.FAAOP
7510 BROADWAY EXT STE 204
OKLAHOMA CITY, OK 73116-9031
Phone number: 405-842-8505
Mailing Address
-- BLAKE EVAN BARLOW CP.LPO.FAAOP
7510 BROADWAY EXT STE 204
OKLAHOMA CITY, OK 73116-9031
Phone number: 405-842-8505