| 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 |