| NPI | 1427376193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE EVAN BARLOW President 405-842-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OK 42) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 42) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-09-03 |