Organization
TTD MANAGEMENT TRUST
Active
Other names
Grove Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA PENNELL D.C. (OWNER)
(918) 786-1056
Entity
Organization
Contact information
Practice address
901 S MAIN ST, GROVE, OK 74344-2845
(918) 786-1056
Mailing address
901 S MAIN ST, GROVE, OK 74344-2845
(918) 786-1056
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2637
OK
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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