| NPI | 1740366210 |
|---|---|
| Doing Business As | REVELATION PROSTHETICS, INC. |
| Doing Business As | REV PRO INC PROSTHETICS & ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | ANITA C MULLIN Vice President 405-319-0685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OK 39) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-01-24 |