Organization
TTD MANAGEMENT TRUST
Active
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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