SAM VALE PENNY

PONCA CITY, OK
NPI1528303872
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  675)
Enumeration Date2012-11-27
Last Update Date2012-11-27
Business Address
-- SAM VALE PENNY LPTA
1601 ACADEMY RD
PONCA CITY, OK 74604-4409
Phone number: 580-762-0927
Mailing Address
-- SAM VALE PENNY LPTA
419 E BROADWAY ST
CUSHING, OK 74023-3339
Phone number: 918-509-0967
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