NPI | 1477736445 |
---|---|
Entity Type | Organization |
Authorized Contact | RONNIE DEAN SOMERVILLE Owner 405-947-8293 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 111N00000X Chiropractor |
208100000X Physical Medicine & Rehabilitation | |
Enumeration Date | 2007-12-12 |
Last Update Date | 2008-05-29 |