Organization · NPI-2

Advanced Pain Solutions

Physical Therapist · Oklahoma City, OK

NPI number1477736445

StatusActive

Last updated in NPPESMay 29, 2008

Details

NPI: 1477736445
Entity type: Organization (NPI-2)
Legal business name: Advanced Pain Solutions
Organization subpart: No
Enumeration date: Dec 12, 2007
Last updated: May 29, 2008

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225100000X	Physical Therapist	–	–	Yes
111N00000X	Chiropractor	–	–
208100000X	Physical Medicine & Rehabilitation	–	–

Practice location

4115 N Classen Blvd
Oklahoma City, OK 73118-2421

Phone 405-947-8293

Mailing address

Po Box 57079
Oklahoma City, OK 73157-7079

Phone 405-947-8293

Authorized official

Ronnie Dean Somerville
Owner
4059478293

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