| NPI | 1679568125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RAY CARLTON Owner / Prosthetist 405-721-7570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-08-22 |