TIMOTHY BLAKE SCONYERS

POTEAU, OK
NPI1568997468
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  2594)
Enumeration Date2017-04-28
Last Update Date2017-05-02
Business Address
-- TIMOTHY BLAKE SCONYERS LPTA
100 ARNALL ST
POTEAU, OK 74953-8809
Phone number: 918-721-4745
Mailing Address
-- TIMOTHY BLAKE SCONYERS LPTA
100 ARNALL ST
POTEAU, OK 74953-8809
Phone number: 918-721-4745