institution
Revelation Enterprises Inc
Prosthetic/Orthotic Supplier in Oklahoma City, Oklahoma
NPI 1740366210

Revelation Enterprises Inc is a Prosthetic/Orthotic Supplier based in Oklahoma City, OK. Revelation Enterprises Inc practices in Oklahoma City, OK. The NPI Number for Revelation Enterprises Inc is 1740366210 and holds a License No. 39 (Oklahoma).

The current practice location address for Revelation Enterprises Inc is 4521 Nw 3Rd St, Oklahoma City, OK and can be reached out via phone at 405-319-0685 and via fax at 405-319-0684.

Location: 4521 Nw 3Rd St, Oklahoma City, OK, 73127-6401
institution
Provider Profile Details
NPI Number
1740366210
Provider Name
Revelation Enterprises Inc
Credential
Provider Entity Type
Organization
Address
4521 Nw 3Rd St, Oklahoma City, OK, 73127-6401
Phone Number
405-319-0685
Fax Number
405-319-0684
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100812360A 05 OK
institution
Provider Business Practice Location Address Details
Address
4521 Nw 3Rd St
City
State
Zip
73127-6401
Phone Number
405-319-0685
Fax Number
405-319-0684
person
Provider Business Mailing Address Details
Address
4521 Nw 3Rd St
City
State
Zip
73127-6401
Phone Number
405-319-0685
Fax Number
405-319-0684
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
39 (Oklahoma)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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