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Individual

MRS. HEATHER JANE SOMMERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
310 W TAFT AVE, SAPULPA, OK 74066-5437
(918) 224-6012
Mailing address
11607 S 73RD EAST AVE, BIXBY, OK 74008-2011
(918) 289-8723

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1944
OK

Other

Enumeration date
10/11/2017
Last updated
10/11/2017
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