Individual
MR. WILLY ERNST HAMMON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
724 24TH AVE NW, NORMAN, OK 73069-6218
(405) 447-1571
Mailing address
1628 ROLLING STONE DR, NORMAN, OK 73071-1431
(405) 321-1176
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
500
OK
225100000X
Physical Therapist
PTL0011903
CO
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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