Individual
TIMOTHY BLAKE SCONYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
100 ARNALL ST, POTEAU, OK 74953-8809
(918) 721-4745
Mailing address
100 ARNALL ST, POTEAU, OK 74953-8809
(918) 721-4745
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2594
OK
Other
Enumeration date
04/28/2017
Last updated
05/02/2017
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