Individual
MR. TYLER EMERSON POMEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, OCS, FAAOMPT
Contact information
Practice address
1410 FRETZ DR, EDMOND, OK 73003-5782
(405) 285-8477
(405) 285-8499
Mailing address
1410 FRETZ DR, EDMOND, OK 73003-5782
(405) 285-8477
(405) 285-8499
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
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