Individual
MR. TYLER EMERSON POMEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, OCS, FAAOMPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3112
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200054310A
—
OK
Enumeration date
01/04/2006
Last updated
05/20/2008
Update your record
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